Jacqueline Christina Rozek, OTD, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

056.014355 Issued in IL

Practice address

20100 S Spruce Dr
Frankfort, IL 60423-7099

Phone

(815) 469-9103

NPI assigned

Feb 6, 2022

Last updated

Apr 27, 2022By 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

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.

• Beyond Speech Therapy Specialists LLC

  • Speech-Language Pathologist
  • New Lenox, IL
  • NPI 1275946808
  NPD (past)
• Summit Hill School District #161

  • Local Education Agency (LEA)
  • Frankfort, IL
  • NPI 1982918728
  NPD (past)

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

{
    "created_epoch": "1644105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651017600000",
    "number": "1710631023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20100 S SPRUCE DR",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604237099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20100 S SPRUCE DR",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604237099",
            "telephone_number": "815-469-9103"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1621 Andrea Dr",
            "address_purpose": "LOCATION",
            "city": "New Lenox",
            "state": "IL",
            "postal_code": "604512303",
            "country_code": "US",
            "telephone_number": "779-435-0724",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "21000 S Frankfort Square Rd",
            "address_purpose": "LOCATION",
            "city": "Frankfort",
            "state": "IL",
            "postal_code": "604239385",
            "country_code": "US",
            "telephone_number": "815-469-1500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROZEK",
        "first_name": "JACQUELINE",
        "middle_name": "CHRISTINA",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-06",
        "last_updated": "2022-04-27",
        "certification_date": "2022-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056.014355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Rossiaky
• Ryan Rothstein
• Rottam LLC
• Roundys Supermarkets Inc (Mariano's Pharmacy)
• Brandy Rozak
• Morgan Rudish
• Fred W. Ruhe III, DC
• Janis E. Runyan, LCPC
• Amanda Ruskowsky
• Marissa Kay Russotto, PHARMD

• Occupational Therapist in Frankfort, IL
• Providers in Frankfort, IL by specialty
• Occupational Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2022; 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.