Individual provider Active NPI

Jennifer Lynn Suggitt, OTR/L, CLT

  • Neurorehabilitation Occupational Therapist
  • Willow Springs, IL
National Provider Identifier
1699087031
Registry record updated Nov 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurorehabilitation Occupational TherapistTaxonomy code 225XN1300X
License
056009557 Issued in IL
Practice address
8434 Corcoran Rd
Willow Springs, IL 60480-1666
Phone
(708) 467-0657
NPI assigned
Jul 13, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X
Pediatric Occupational Therapist 225XP0200X 056.009557 IL
Pediatric Occupational Therapist 225XP0200X 016038-1 NY
Neurorehabilitation Occupational Therapist 225XN1300X 056009557 IL Primary

Addresses

Primary practice location

8434 Corcoran Rd
Willow Springs, IL 60480-1666

Mailing address

8434 Corcoran Rd
Willow Springs, IL 60480-1666
Phone (708) 467-0657

Other practice location 1

345 E Superior
Chicago, IL 60611
Phone (312) 238-1000

Other names 1

  • Ms. Jennifer Lynn Chirchirillo Former 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
016038-1NYMDOccupational Therapist
056.009557ILMDPediatric Occupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1278979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636070400000",
    "number": "1699087031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8434 CORCORAN RD",
            "city": "WILLOW SPRINGS",
            "state": "IL",
            "postal_code": "604801666",
            "telephone_number": "708-467-0657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8434 CORCORAN RD",
            "city": "WILLOW SPRINGS",
            "state": "IL",
            "postal_code": "604801666",
            "telephone_number": "708-467-0657"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "345 E Superior",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "60611",
            "country_code": "US",
            "telephone_number": "312-238-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUGGITT",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "OTR/L, CLT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-13",
        "last_updated": "2021-11-05",
        "certification_date": "2021-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "IL",
            "license": "056.009557",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NY",
            "license": "016038-1",
            "primary": false
        },
        {
            "code": "225XN1300X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Neurorehabilitation",
            "state": "IL",
            "license": "056009557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "CHIRCHIRILLO",
            "middle_name": "LYNN",
            "prefix": "MS.",
            "credential": "OTR/L, CLT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Willow Springs, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2021; 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.