Jennifer Lynn Burwell, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

5247 Issued in SC

Practice address

1015 Oconor Ave
La Salle, IL 61301-1216

Phone

(815) 223-0303

NPI assigned

May 15, 2019

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1557878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557878400000",
    "number": "1972169985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2666 N HALSTED ST # 301",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606142302",
            "telephone_number": "740-819-9080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 OCONOR AVE",
            "city": "LA SALLE",
            "state": "IL",
            "postal_code": "613011216",
            "telephone_number": "815-223-0303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURWELL",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-15",
        "last_updated": "2019-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056.013062",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "SC",
            "license": "5247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alan J Blomquist, LCSW
• Jamie Bond, FNP
• Ginger Kendell Brainard
• Paige Brennan, APRN
• Margaret A Brooks, LCPC
• Ricardo Joseph Calderon, M.D.
• Elizabeth C Campbell, LSW
• Bree N Carlson, MS. CF-SLP
• David Carr
• Stephanie Cartolano, LCPC

• All providers in La Salle, IL
• Occupational Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2019; 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.