Jefferson James Licup, OTR/L
NPI 1437484110 · Occupational Therapist · Bolingbrook, IL
Jefferson James Licup, OTR/L is a Occupational Therapist provider in Bolingbrook, IL (NPI 1437484110).
Provider details
- NPI number
- 1437484110
- Entity type
- Individual
- Primary specialty
- Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- OTR/L
- Sex
- Male
- Sole proprietor
- No
- License
- 056007185 (IL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 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
Mailing address
Registry dates
- Enumerated
- 2009-10-13
- Last updated
- 2009-10-13
Frequently asked questions
- What is Jefferson James Licup's NPI number?
- Jefferson James Licup's National Provider Identifier (NPI) is 1437484110, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jefferson James Licup's specialty?
- Jefferson James Licup is listed in the NPPES registry with a primary specialty of Occupational Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Jefferson James Licup located?
- Jefferson James Licup's practice location on file with NPPES is 226 Tiger St, Bolingbrook, IL 60490-2053.
- What is Jefferson James Licup's phone number?
- The practice phone number listed in the NPPES registry for Jefferson James Licup is (708) 822-8886.
- Is Jefferson James Licup's NPI active?
- Yes — Jefferson James Licup's NPI (1437484110) is active in the NPPES registry as of the last update on 2009-10-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.