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

Jennifer A Petersen, OTR

Individual provider Occupational Therapy Assistant · NPI 1144649435

Jennifer A Petersen, OTR is an Occupational Therapy Assistant in Rockford, Illinois. Licensed in Illinois. Registered with an NPI since 2014.

Licensed in
IL
In the registry since
2014
Specialties on file
2
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 61107-5090
Phone: (815) 381-7431
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 056-010596 (IL)
Occupational Therapy Assistant Taxonomy 224Z00000X · Licence 057-002477 (IL)

Record details

NPI number1144649435
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR
Sole proprietorNo
NPI enumeratedApril 15, 2014
Last updated in NPPESDecember 11, 2014

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