Active NPI
Jennifer Lauren Burkhart, OTR/L
- Occupational Therapist
- Lake Forest, IL
National Provider Identifier
1508018136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 056.009713
- Practice address
- 1262 Winwood Dr
Lake Forest, IL 60045-1161 - Phone
- (224) 500-7797
- NPI assigned
- Oct 14, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT009797 | GA | |
| Occupational Therapist | 225X00000X | 15183852 | TN | |
| Occupational Therapist | 225X00000X | 056.009713 | IL | Primary |
Addresses
Primary practice location
1262 Winwood Dr
Lake Forest, IL 60045-1161
Mailing address
1262 Winwood Dr
Lake Forest, IL 60045-1161
Phone (224) 500-7797
Other practice location 1
854 Technology Way Ste E
Libertyville, IL 60048-5350
Phone (224) 500-7797
Other names 1
- Jennifer Joti Tajdeep Kaur Lauren
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT009797 | GA | MD | Occupational Therapist |
| 056.009713 | IL | MD | Occupational Therapist |
| 15183852 | TN | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1223942400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774915200000",
"number": "1508018136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1262 WINWOOD DR",
"city": "LAKE FOREST",
"state": "IL",
"postal_code": "600451161",
"telephone_number": "224-500-7797"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1262 WINWOOD DR",
"city": "LAKE FOREST",
"state": "IL",
"postal_code": "600451161",
"telephone_number": "224-500-7797"
}
],
"practiceLocations": [
{
"address_1": "854 Technology Way Ste E",
"address_purpose": "LOCATION",
"city": "Libertyville",
"state": "IL",
"postal_code": "600485350",
"country_code": "US",
"telephone_number": "224-500-7797",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BURKHART",
"first_name": "JENNIFER",
"middle_name": "LAUREN",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-10-14",
"last_updated": "2026-03-31",
"certification_date": "2026-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "GA",
"license": "OT009797",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TN",
"license": "15183852",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IL",
"license": "056.009713",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "LAUREN",
"middle_name": "JOTI TAJDEEP KAUR",
"credential": "OTR/L",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Lake Forest, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.