IndividualActive
Jodi Carroll, MS OTR/L
NPI 1417249798 · Occupational Therapist · Chicago, IL
Provider details
- NPI number
- 1417249798
- Entity type
- Individual
- Primary specialty
- Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- MS OTR/L
- Sex
- Female
- Sole proprietor
- Yes
- License
- 056.009103 (IL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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
1640 N Wells St
# 103
Chicago, IL 60614-6087
Phone: (231) 392-6420
Street-level locationGet directions
Mailing address
3315 N Wolcott Ave
Chicago, IL 60657-2020
Registry dates
- Enumerated
- 2011-05-05
- Last updated
- 2011-05-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.