JACQUELYN MARIE ROGGENBUCK (OTR) – Occupational Therapist, NPI 1063625820
Occupational Therapist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for JACQUELYN MARIE ROGGENBUCK (OTR)
PO BOX 735263
CHICAGO, IL 606735263
Phone:
Type: Mailing
Marcus Center For The Performing Arts Box Office, 929, North Water Street, East Town, Milwaukee, Milwaukee County, Wisconsin, 53202, United States
MILWAUKEE, WI 53278
Phone: (815) 398-9491
Fax: (815) 381-7498
Type: Mailing
324, Roxbury Road, Rockford, Rockford Township, Winnebago County, Illinois, 61107, United States
ROCKFORD, IL 61107
Phone: (815) 398-9491
Fax: (815) 381-7498
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2015-06-10
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20150610000759 | I | Occupational Therapist In Private Practice | IL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 823 | 57 | $0 |
| 97140 | Therapy procedure using manual technique, each 15 minutes | 180 | 38 | $0 |
| 97035 | Application of ultrasound, each 15 minutes | 129 | 19 | $0 |
| 97530 | Therapy procedure using functional activities | 84 | 19 | $0 |
| 97165 | Evaluation for occupational therapy, typically 30 minutes | 39 | 37 | $0 |
Insurance plans in this area (ZIP 60673)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| OCCUPATIONAL THERAPY | IL | 97140 | Manual (physical) therapy techniques to 1 or more regions, each 15 minutes | 245 | 48 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| A N E S T H E S I O L O G Y | IL | |
| Family Practice, Sports Medicine | IL | |
| Occupational Therapist In Private Practice | IL | |
| Physical Therapist In Private Practice | TN | |
| Physical Therapist In Private Practice | IL | |
| Physician Assistant | IL | |
| Physician Assistant | WI | |
| Physician Assistant | IL | |
| - | WI | |
| Hand Surgery, Orthopedic Surgery | MN |
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