JENNIFER A PETERSEN


Address: 324 Roxbury Rd, Rockford, IL 61107-5090
Phone: 8153817431

JENNIFER A PETERSEN (NPI# 1144649435) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1144649435
Entity Type Individual
Full Name JENNIFER A PETERSEN
Credential O.T.R.
Practice Address 324 Roxbury Rd
Rockford
IL 61107-5090
Mailing Address Box 78534
Milwaukee
WI 53278
Practice Telephone 8153817431
Practice Fax Number 8153817498
Mailing Telephone 8153817431
Mailing Fax Number 8153817498
Enumeration Date 2014-04-15
Last Update Date 2014-12-11
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 224Z00000X Occupational Therapy Assistant 057-002477 IL Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Y 225X00000X Occupational Therapist 056-010596 IL Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Providers JENNIFER PETERSEN

NPI Name Taxonomy Address Enumeration
1417506353 Jennifer S Petersen Specialist 266 Rintin St, Franklin Square, NY 11010-3406 2019-09-04
1740705003 Jennifer Marie Petersen Nurse Practitioner 1892 Bassett Rd, Westlake, OH 44145-1909 2017-08-08
1891236550 Jennifer Petersen Counselor 103 Enterprise Dr, Warsaw, IN 46580-1204 2017-03-14
1417308578 Jennifer Mary Petersen Licensed Practical Nurse 417 Grove St, Sullivan, WI 53178-9770 2016-06-29
1013311398 Jennifer Petersen Counselor 4213 Durango Pl, Fort Collins, CO 80526-4103 2014-10-15
1558669523 Jennifer L Petersen Speech-Language Pathologist 53 Bedford Ave, Middletown, NY 10940-6414 2011-03-01
1265586812 Jennifer L Petersen Specialist/Technologist 1256 Bark Rd, Magnolia, OH 44643 2007-01-22
1124180104 Jennifer Jill Petersen Chiropractor 20730 Holyoke Ave, Suite 34, Lakeville, MN 55044 2006-12-15
1841279890 Jennifer Lynn Petersen Chiropractor 128 6th Ave S, Clinton, IA 52732-4103 2006-01-10
1073037982 Jennifer Suzanne Petersen Registered Nurse 5930 S 58th St Ste W, Lincoln, NE 68516-3653 2017-08-01

Office Location

Street Address 324 ROXBURY RD
City ROCKFORD
State IL
Zip Code 61107-5090

Providers in the same location

NPI Name Taxonomy Address Enumeration
1225036973 Alicia A Heuser Physician Assistant 324 Roxbury Rd, Rockford, IL 61107-5090 2005-07-07
1578180105 Anna R Gibbons Physical Therapist 324 Roxbury Rd, Rockford, IL 61107-5090 2020-06-30
1730705732 Krista L Carlson Physical Therapist 324 Roxbury Rd, Rockford, IL 61107-5090 2020-06-25
1821613274 Erin B Thomas Physical Therapist 324 Roxbury Rd, Rockford, IL 61107-5090 2020-06-11
1053948521 Micah Lynn Ann Clutter Specialist/Technologist 324 Roxbury Rd, Rockford, IL 61107-5090 2020-03-25
1881232817 Eleni Polites Occupational Therapist 324 Roxbury Rd, Rockford, IL 61107-5090 2019-12-20
1316507890 Ashley Ann Smith Podiatrist 324 Roxbury Rd, Rockford, IL 61107-5090 2019-06-18
1093371197 Christine M Piasecki Physical Therapist 324 Roxbury Rd, Rockford, IL 61107-5090 2019-05-14
1831755024 Suzanne Workman Occupational Therapist 324 Roxbury Rd, Rockford, IL 61107-5090 2019-05-14
1861058950 Paige A Lyford Physical Therapist 324 Roxbury Rd, Rockford, IL 61107-5090 2019-05-14
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1356952139 Jessica Marie Tamayo Fernandez Pharmacist 1145 Alpine Rd, Rockford, IL 61107 2020-08-13
1467092379 Unknown Safa Fatima Student in an Organized Health Care Education/Training Program Mercyhealth Mulford Clinic, 5970 Churchview Drive, Rockford, IL 61107 2020-01-08
1194367912 Matt J Kriebs Nurse Practitioner 1235 N Mulford Rd Suite 103, Rockford, IL 61107 2019-10-14
1265962336 Mary Golembeck Nurse Practitioner 7290 Argus Dr, Rockford, IL 61107 2017-06-12
1831644749 Tessa Lee Occupational Therapist 3422 Lauderdale Ln, Rockford, IL 61107 2016-08-20
1942626965 Elevated Health Essentials, LLC Chiropractor 124 N Water St Ste 204e, Rockford, IL 61107 2014-03-14
1093139909 Swedishamerican Hospital Surgery 1639 N Alpine Rd Ste 400, Rockford, IL 61107 2014-02-12
1346676582 Christopher Anthony Ziganto Pharmacist 494 Bienterra Trail #2, Rockford, IL 61107 2013-09-19
1023358272 Lavanya Durairajan Physical Therapist 7358 Shiligton Dr, Rockford, IL 61107 2013-02-26
1851523146 Great Smiles of Rockford Durable Medical Equipment & Medical Supplies 780 N. Mulfrord Road, Rockford, IL 61107 2009-08-20
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Taxonomy Information

Taxonomy Code 225X00000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Occupational Therapist

Taxonomy Definition

An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.
Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, added source]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1134654031 Kiley Wallden Occupational Therapist 4617 White Oak Ave, Rockford, IL 61114-6235 2017-04-27
1831644749 Tessa Lee Occupational Therapist 3422 Lauderdale Ln, Rockford, IL 61107 2016-08-20
1043672611 Ann Licari Occupational Therapist 4123 Singleton Rd, Rockford, IL 61114-6159 2016-03-23
1497142616 Adrienne Samuel Occupational Therapist 2123 Clinton St, Rockford, IL 61103-4104 2015-04-26
1417394099 Jensine Houghton Occupational Therapist 4010 Woodhill Ct, Rockford, MN 55373-9105 2013-05-23
1194048041 Nita Patel Occupational Therapist 960 Tulip Ln Apt 4, Rockford, IL 61107-5738 2010-03-07
1336377993 Colleen Mary Mcdonald Occupational Therapist 417 N Rockford Ave, Rockford, IL 61107-4548 2009-06-23
1831368463 Jennifer Papoccia Occupational Therapist 1411 E Gate Pkwy, Rockford, IL 61108-6140 2008-02-28
1124297759 Letitia Taylor Occupational Therapist 3250 Brook Harbour Dr, Rockford, IL 61114-6650 2008-02-28
1639375728 Ellen M Marqua Occupational Therapist 3108 Rural St, Rockford, IL 61107-3461 2007-06-25
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City ROCKFORD
Zip Code 61107

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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