OrganizationActive
Lake Bluff School District 65
NPI 1205527546 · Pediatric Occupational Therapist · Lake Bluff, IL
Provider details
- NPI number
- 1205527546
- Entity type
- Organization
- Primary specialty
- Pediatric Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Tracy Roehrick, Special Education Coordinator(847) 234-9400
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
350 W Washington Ave
Lake Bluff, IL 60044-1818
Phone: (847) 347-4983
Street-level locationGet directions
Mailing address
350 W Washington Ave
Lake Bluff, IL 60044-1818
Registry dates
- Enumerated
- 2023-05-17
- Last updated
- 2023-09-11
- Certified
- 2023-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.