Individual provider Active NPI

Jennifer Chiarello, OTR/L

  • Occupational Therapist
  • Round Lake, IL
National Provider Identifier
1518515774
Registry record updated Aug 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Practice address
882 W Nippersink Rd
Round Lake, IL 60073-3701
Phone
(847) 270-9920
NPI assigned
Aug 30, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X Primary

Addresses

Primary practice location

882 W Nippersink Rd
Round Lake, IL 60073-3701

Mailing address

12 Greenvale Rd
Vernon Hills, IL 60061-1810
Phone (847) 549-1308

Other identifiers 1

IdentifierTypeStateIssuer
1477677763MedicaidIL

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL jchiarello@rlas-116.org

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1567123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567123200000",
    "number": "1518515774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 GREENVALE RD",
            "city": "VERNON HILLS",
            "state": "IL",
            "postal_code": "600611810",
            "telephone_number": "847-549-1308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "882 W NIPPERSINK RD",
            "city": "ROUND LAKE",
            "state": "IL",
            "postal_code": "600733701",
            "telephone_number": "847-270-9920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIARELLO",
        "first_name": "JENNIFER",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-30",
        "last_updated": "2019-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1477677763",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "jchiarello@rlas-116.org",
            "affiliation": "N",
            "address_1": "882 W Nippersink Rd",
            "city": "Round Lake",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600733701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Round Lake, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2019; 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.