Jennifer List, OTR/L is a
Occupational Therapist - Physical Rehabilitation based in Belvidere, Illinois. Jennifer List is licensed to practice in Illinois (license number 056003205) and her current practice location is
1922 Wycliffe St, Belvidere, Illinois. She can be reached at her office (for appointments etc.) via phone at
(815) 544-5833.
NPI number for Jennifer List is 1477835015 and her current mailing address is 1922 Wycliffe St, Belvidere, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1477835015.
Healthcare Provider's Profile
Full Name | Jennifer List |
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Gender | Female |
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Speciality | Occupational Therapist - Physical Rehabilitation |
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Location | 1922 Wycliffe St, Belvidere, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1477835015
- Provider Enumeration Date: 09/09/2011
- Last Update Date: 09/09/2011
Medical Identifiers
Medical identifiers for Jennifer List such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1477835015 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225XP0019X | Occupational Therapist - Physical Rehabilitation | 056003205 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jennifer List is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jennifer List, OTR/L 1922 Wycliffe St, Belvidere, IL 61008-6447 Ph: () - | Jennifer List, OTR/L 1922 Wycliffe St, Belvidere, IL 61008-6447 Ph: (815) 544-5833 |
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