Individual provider · Type 1 NPI

Jacquelyn Marie Roggenbuck, OTR

Occupational Therapist · Rockford, IL

NPI number 1063625820 Active

Practice location

324 Roxbury Road
Rockford, IL 61107

Call (815) 398-9491 Map

Fax (815) 381-7498

Mailing address

PO Box 735263
Chicago, IL 60673-5263

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X056-011026 (IL)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1063625820

Jacquelyn Marie Roggenbuck, OTR's National Provider Identifier is 1063625820, issued on May 8, 2007. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Rockford, IL. The record was last updated on Sep 29, 2026.