Jewel Lea Marie Umuso Bulusan

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

056.014184 Issued in IL

Practice address

2110 S Goebbert Rd Apt 102
Arlington Heights, IL 60005-4260

Phone

(224) 809-0342

NPI assigned

May 12, 2022

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

Enrolled in IL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Rehab Maxx LLC

  • Physical Therapist
  • Arlington Heights, IL
  • NPI 1861711855

  Occupational Therapist

  Medicare reassignment NPD

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

{
    "created_epoch": "1652313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652313600000",
    "number": "1982340832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2110 S GOEBBERT RD APT 102",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600054260",
            "telephone_number": "224-809-0342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2110 S GOEBBERT RD APT 102",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600054260",
            "telephone_number": "224-809-0342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULUSAN",
        "first_name": "JEWEL LEA MARIE",
        "middle_name": "UMUSO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-12",
        "last_updated": "2022-05-12",
        "certification_date": "2022-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056.014184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karla Buitron
• Alyssa Christine Bujnak, MD
• Yuriy Bukhalo, MD
• Mussarat J. Bukhari, M.D.
• Yuliya Bulatova, FNP-C
• Karen Burcham, PHD
• Scott Burgess, LCPC
• Christina Burke, DO
• Melissa J Burke, M.S., BCBA
• Kylie Burnham

• Occupational Therapist in Arlington Heights, IL
• Providers in Arlington Heights, IL by specialty
• Occupational Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.