Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jackie Kruckenberg, OTR/L

Individual provider Occupational Therapist · NPI 1669797528

Jackie Kruckenberg, OTR/L is an Occupational Therapist in Orland Park, Illinois. Licensed in Illinois. Registered with an NPI since 2010.

Licensed in
IL
In the registry since
2010
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

16170 S Kingsport Rd
Orland Park, IL 60467-5602
Phone: (708) 326-1550
Fax: (708) 326-1557
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 056008932 (IL)

Record details

NPI number1669797528
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR/L
Sole proprietorNo
NPI enumeratedApril 5, 2010
Last updated in NPPESApril 5, 2010

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