Individual provider Active NPI

Yvette Jurkowski, OTR/L

  • Pediatric Occupational Therapist
  • Chicago, IL
National Provider Identifier
1710698634
Registry record updated Apr 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
056.015211 Issued in IL
Practice address
4433 N Forestview Ave
Chicago, IL 60656-4128
Phone
(312) 973-2993
NPI assigned
Dec 12, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 26, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 056.015211 IL
Pediatric Occupational Therapist 225XP0200X 056.015211 IL Primary

Addresses

Primary practice location

4433 N Forestview Ave
Chicago, IL 60656-4128

Mailing address

4433 N Forestview Ave
Chicago, IL 60656-4128
Phone (312) 973-2993

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
056.015211ILMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Chicagoland Theraplay LLC CurrentSince Apr 27, 2025 Accepting new patients
Kick Start Occupational Therapist PastSince Dec 1, 2022 Accepting new patients

Organizations & group practices 2

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": "1670803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745625600000",
    "number": "1710698634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4433 N FORESTVIEW AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606564128",
            "telephone_number": "312-973-2993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4433 N FORESTVIEW AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606564128",
            "telephone_number": "312-973-2993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JURKOWSKI",
        "first_name": "YVETTE",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-12",
        "last_updated": "2025-04-26",
        "certification_date": "2025-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056.015211",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "IL",
            "license": "056.015211",
            "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 Apr 26, 2025; 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.