Lisa C Jenz-Siblik, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

056.004648 Issued in IL

Practice address

1460 Melbourne St
Elburn, IL 60119-8402

Phone

(630) 365-6051

NPI assigned

Nov 7, 2013

Last updated

Nov 7, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1383782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383782400000",
    "number": "1376972612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1460 MELBOURNE ST",
            "city": "ELBURN",
            "state": "IL",
            "postal_code": "601198402",
            "telephone_number": "630-365-6051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1460 MELBOURNE ST",
            "city": "ELBURN",
            "state": "IL",
            "postal_code": "601198402",
            "telephone_number": "630-365-6051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENZ-SIBLIK",
        "first_name": "LISA",
        "middle_name": "C",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-07",
        "last_updated": "2013-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056.004648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Occupational Therapist in Elburn, IL
• Providers in Elburn, IL by specialty
• Occupational Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.