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Lauren Netrefa , COTA, L

Occupational Therapy Assistant β€’ Forest Park, IL

Active NPI 1346805579 Individual Practitioner Female Practitioner
Practice location in NPPES

8200 Roosevelt Rd
Forest Park, IL 601302528

Call 7084889850 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

8200 Roosevelt Rd

Forest Park, IL 601302528

Telephone 7084889850
Organization at the Same NPPES Address or Phone
Forest Park, L.l.c. Facility NPI 1548392541

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2019

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Forest Park and Illinois

4 active clinicians are listed under Occupational Therapy Assistant with a practice address in Forest Park, IL (1,499 in Illinois).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2022-06-24
Occupational Therapy Assistant Primary Specialty

NUCC Taxonomy Code: 224Z00000X

License # reported to NPPES IL 057.004268

An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examination for occupational therapy assistants, and fulfills state requirements for licensure, certification, or registration. An occupational therapy assistant provides interventions under the supervision of an occupational therapist 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 therapy assistants 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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Illinois Department of Financial and Professional Regulation.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Other Identifier Idfpr Ota License
057004268 (IL)

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

2 listed
Alexis Ellstrom , PA-C

Physician Assistant

NPI 1114560695

Physician Assistant (Certified)

Melanie Ketchmark

Physical Therapist

NPI 1285365940

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Business Mailing Address June 24, 2022

Registered at 375 PHEASANT CHASE DR, BOLINGBROOK, IL 604904511

πŸ‘€
Provider Name / Credentials Updated June 24, 2022

Recorded as LAUREN NETREFA, COTA/L

βœ…
NPI Profile Active May 02, 2019

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) May 02, 2019

Registered at 8200 ROOSEVELT RD, FOREST PARK, IL 601302528 (Tel: 7084889850)

πŸ“
Business Mailing Address (Initial Record) May 02, 2019

Registered at 1505 COVENTRY LN, MUNSTER, IN 463214364

πŸ‘€
Provider Name / Credentials (Initial Record) May 02, 2019

Recorded as LAUREN DAVIS, COTA/L

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 02, 2019

Occupational Therapy Assistant (license number reported to NPPES: IL 057.004268)

🟒
Initial NPI Registration & Enumeration May 02, 2019

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1346805579
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 02, 2019
Last Update: June 24, 2022
Sole Proprietor: Yes

Mailing Address

375 Pheasant Chase Dr

Bolingbrook, IL 604904511

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.