Individual provider Active NPI

Patricia Louise Rogel, CO, LO, OTR/L

  • Orthotist
  • Skokie, IL
National Provider Identifier
1841338860
Registry record updated Oct 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OrthotistTaxonomy code 222Z00000X
License
213000146 Issued in IL
Practice address
4711 Golf Rd
Ste 1055
Skokie, IL 60076-1224
Phone
(224) 470-8550
Fax
(224) 470-8553
NPI assigned
Feb 2, 2007
Last updated
Oct 6, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthotist 222Z00000X 213000146 IL Primary
Occupational Therapist 225X00000X 56003649 IL

Addresses

Primary practice location

4711 Golf Rd
Ste 1055
Skokie, IL 60076-1224

Mailing address

4711 Golf Rd Ste 525
Skokie, IL 60076-1217
Phone (224) 470-8550

Other names 1

  • Patricia Louise Trese Former name

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

LicenseStateTypeSpecialty
213000146ILMDOrthotist
56003649ILMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
PR Orthotics & OT, LLC Past 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665014400000",
    "number": "1841338860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4711 GOLF RD STE 525",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600761217",
            "telephone_number": "224-470-8550",
            "fax_number": "224-470-8553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4711 GOLF RD",
            "address_2": "STE 1055",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600761224",
            "telephone_number": "224-470-8550",
            "fax_number": "224-470-8553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGEL",
        "first_name": "PATRICIA",
        "middle_name": "LOUISE",
        "credential": "CO, LO, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-02",
        "last_updated": "2022-10-06",
        "certification_date": "2022-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": "IL",
            "license": "213000146",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "56003649",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICIA",
            "last_name": "TRESE",
            "middle_name": "LOUISE",
            "credential": "CO, OTR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Skokie, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 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.