Active NPI
June Terrell, OTR
- Occupational Therapist
- Philadelphia, PA
National Provider Identifier
1003174616
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OC010250
- Practice address
- 719 E Phil Ellena St
Philadelphia, PA 19119-1532 - Phone
- (215) 429-8002
- Fax
- (267) 297-7337
- NPI assigned
- May 2, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OC010250 | PA | Primary |
Addresses
Primary practice location
719 E Phil Ellena St
Philadelphia, PA 19119-1532
Mailing address
719 E Phil Ellena St
Philadelphia, PA 19119-1532
Phone (215) 429-8002
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OC010250 | PA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1335916800000",
"number": "1003174616",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "719 E PHIL ELLENA ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191191532",
"telephone_number": "215-429-8002",
"fax_number": "267-297-7337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "719 E PHIL ELLENA ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191191532",
"telephone_number": "215-429-8002",
"fax_number": "267-297-7337"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TERRELL",
"first_name": "JUNE",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-05-02",
"last_updated": "2012-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "PA",
"license": "OC010250",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.