Jennifer Elizabeth Romanczuk, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

5201007352 Issued in MI

Practice address

181 Coleman Dr
Waterford, MI 48328-3611

Phone

(248) 716-0061

NPI assigned

Jun 26, 2016

Last updated

Jun 26, 2016By 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

Other names 1

• Ms. Jennifer Elizabeth Slavin Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Upward Therapy LLC

  dba Upward Therapy

  • Occupational Therapist
  • Waterford, MI
  • NPI 1316399611
  NPD (past) Authorized official

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

{
    "created_epoch": "1466899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466899200000",
    "number": "1649621145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 COLEMAN DR",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483283611",
            "telephone_number": "248-716-0061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 COLEMAN DR",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483283611",
            "telephone_number": "248-716-0061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMANCZUK",
        "first_name": "JENNIFER",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-26",
        "last_updated": "2016-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201007352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "SLAVIN",
            "middle_name": "ELIZABETH",
            "prefix": "MS.",
            "credential": "OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tonya Maire Rodriguez, CNIM
• Rogers Chiropractic Center PC
• Dayne James Rogers, D.C.
• Shelly A Rogin
• Laura Rohle, OT
• Randall Edmund Root, D.D.S.
• Alisa Beth Rosario
• Jamie Rose Rosenthal, PA
• Samantha Leigh Rosso, MSN, APRN, FNP-BC
• Cory Joshua Rubin, M.D.

• Occupational Therapist in Waterford, MI
• Providers in Waterford, MI by specialty
• Occupational Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2016; 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.