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

Individual provider Occupational Therapist · NPI 1063625820

Jacquelyn Marie Roggenbuck, OTR is an Occupational Therapist in Rockford, Illinois. Licensed in Illinois. Registered with an NPI since 2007.

Licensed in
IL
In the registry since
2007
What do these letters mean?
OTR — Occupational Therapist, Registered
A nationally registered occupational therapist.

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Practice location Address checks out

324 Roxbury Rd
Rockford, IL 61107
Phone: (815) 398-9491
Fax: (815) 381-7498
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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 056-011026 (IL)

Record details

NPI number1063625820
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR
Sole proprietorNo
NPI enumeratedMay 8, 2007
Last updated in NPPESSeptember 13, 2023
Certification dateSeptember 13, 2023

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