Active NPI
Jennifer Gierusz, OTRL
- Occupational Therapist
- Bartlett, IL
National Provider Identifier
1770823528
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 056.009236
- Practice address
- 829 Carillon Dr
Bartlett, IL 60103-5300 - Phone
- (630) 372-1983
- NPI assigned
- Feb 14, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 056.009236 | IL | Primary |
Addresses
Primary practice location
829 Carillon Dr
Bartlett, IL 60103-5300
Mailing address
2014 E Cayuga LN
Mount Prospect, IL 60056-1722
Phone (847) 975-9817
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 |
|---|---|---|---|
| 056.009236 | IL | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1360800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1360800000000",
"number": "1770823528",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2014 E CAYUGA LN",
"city": "MOUNT PROSPECT",
"state": "IL",
"postal_code": "600561722",
"telephone_number": "847-975-9817"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "829 CARILLON DR",
"city": "BARTLETT",
"state": "IL",
"postal_code": "601035300",
"telephone_number": "630-372-1983"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIERUSZ",
"first_name": "JENNIFER",
"name_prefix": "Ms.",
"credential": "OTRL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-02-14",
"last_updated": "2013-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IL",
"license": "056.009236",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bartlett, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.