Individual provider Active NPI

Lakecia Jackson-Rooks, OTRL, D.T.

  • Occupational Therapist
  • Chicago, IL
National Provider Identifier
1700915915
Registry record updated Dec 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
056003991 Issued in IL
Practice address
8616 S Normal Ave
Chicago, IL 60620-2153
Phone
(773) 593-2396
NPI assigned
Mar 5, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Therapist 222Q00000X
Occupational Therapist 225X00000X 056003991 IL Primary

Addresses

Primary practice location

8616 S Normal Ave
Chicago, IL 60620-2153

Mailing address

8616 S Normal Ave
Chicago, IL 60620-2153
Phone (773) 602-1725

Other practice location 1

10018 S Rhodes Ave
Chicago, IL 60628-2226
Phone (773) 995-9161

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

State licenses

LicenseStateTypeSpecialty
056003991ILMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Small Steps, Giant Gains, Inc. Occupational Therapist PastSince Dec 9, 2019 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575244800000",
    "number": "1700915915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8616 S NORMAL AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606202153",
            "telephone_number": "773-602-1725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8616 S NORMAL AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606202153",
            "telephone_number": "773-593-2396"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10018 S Rhodes Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606282226",
            "country_code": "US",
            "telephone_number": "773-995-9161",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACKSON-ROOKS",
        "first_name": "LAKECIA",
        "name_prefix": "Mrs.",
        "credential": "OTRL, D.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-05",
        "last_updated": "2019-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056003991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.