Individual provider Active NPI

Jennifer Lauren Burkhart, OTR/L

  • Occupational Therapist
  • Lake Forest, IL
National Provider Identifier
1508018136
Registry record updated Mar 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
056.009713 Issued in IL
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

Updated by the provider on Mar 31, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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 Other name

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

LicenseStateTypeSpecialty
OT009797GAMDOccupational Therapist
056.009713ILMDOccupational Therapist
15183852TNMDOccupational 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.

Verify at the official NPI Registry.