Active NPI
Jennifer Lynn Suggitt, OTR/L, CLT
- Neurorehabilitation Occupational Therapist
- Willow Springs, IL
National Provider Identifier
1699087031
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurorehabilitation Occupational Therapist
- License
- 056009557
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 016038-1 | NY | MD | Occupational Therapist |
| 056.009557 | IL | MD | Pediatric 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.