Active NPI
Jacqueline F Bender, OTR/L
- Occupational Therapist
- West Chester, PA
National Provider Identifier
1003613761
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OC008991
- Practice address
- 613 Cricklewood Rd
West Chester, PA 19382-8507 - Phone
- (484) 266-0387
- NPI assigned
- Feb 28, 2025
- 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 | OC008991 | PA | Primary |
Addresses
Primary practice location
613 Cricklewood Rd
West Chester, PA 19382-8507
Mailing address
613 Cricklewood Rd
West Chester, PA 19382-8507
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OC008991 | PA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rehab1 LLC | Occupational Therapist | Current | Accepting new patients |
Locations
263 Glen Riddle Rd
Media, PA 19063
Phone (610) 358-9933
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1740700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740700800000",
"number": "1003613761",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "613 CRICKLEWOOD RD",
"city": "WEST CHESTER",
"state": "PA",
"postal_code": "193828507"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "613 CRICKLEWOOD RD",
"city": "WEST CHESTER",
"state": "PA",
"postal_code": "193828507",
"telephone_number": "484-266-0387"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENDER",
"first_name": "JACQUELINE",
"middle_name": "F",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-02-28",
"last_updated": "2025-02-28",
"certification_date": "2025-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "PA",
"license": "OC008991",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Chester, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.