Jamie Stortz, MOTRL

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

056006330 Issued in IL

Practice address

33 Wildwood Dr
Rock Island, IL 61201-6147

Phone

(847) 204-0796

NPI assigned

Jan 6, 2007

Last updated

Oct 16, 2012By 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": "1168041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350345600000",
    "number": "1558419796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 WILDWOOD DR",
            "city": "ROCK ISLAND",
            "state": "IL",
            "postal_code": "612016147",
            "telephone_number": "847-204-0796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 WILDWOOD DR",
            "city": "ROCK ISLAND",
            "state": "IL",
            "postal_code": "612016147",
            "telephone_number": "847-204-0796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STORTZ",
        "first_name": "JAMIE",
        "credential": "MOTRL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-06",
        "last_updated": "2012-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "IL",
            "license": "056006330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pediatric Occupational Therapist in Rock Island, IL
• Providers in Rock Island, IL by specialty
• Pediatric Occupational Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2012; 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.