Jackelien Vargas Lopez

Primary specialty

Physical Rehabilitation Occupational TherapistTaxonomy code 225XP0019X

License

OT.OT.70127162 Issued in WA

Practice address

1126 Reber St
Green Bay, WI 54302-1522

Phone

(920) 600-4868

NPI assigned

Jul 1, 2026

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1782864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782864000000",
    "number": "1730006651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1126 REBER ST",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543021522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1126 REBER ST",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543021522",
            "telephone_number": "920-600-4868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARGAS LOPEZ",
        "first_name": "JACKELIEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-07-01",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "WA",
            "license": "OT.OT.70127162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ann Elizabeth Vanlanen, CSAC,SW
• Jessica A Vanlannen, PT-A
• Mason E Vanrossum, LPC
• Shelby Lynne Vanrossum, MD
• Christopher J Vansaders, MD
• Luis Vargas, APNP
• Calikay Vashou
• Cristian A Vasiliev, FNP
• Marcia Vasta
• Jayme Ellen Vaughan, PTA

• Physical Rehabilitation Occupational Therapist in Green Bay, WI
• Providers in Green Bay, WI by specialty
• Physical Rehabilitation Occupational Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2026; 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.