Active NPI
Jennifer Rose Borio, OTD
- Occupational Therapist
- Narberth, PA
National Provider Identifier
1013767805
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OC017972
- Practice address
- 822 Montgomery Ave
Narberth, PA 19072-1937 - Phone
- (215) 220-2210
- NPI assigned
- Mar 25, 2024
- Last updated
- Mar 25, 2024
- 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 | OC017972 | PA | Primary |
Addresses
Primary practice location
822 Montgomery Ave
Narberth, PA 19072-1937
Mailing address
822 Anderson Ave
Drexel Hill, PA 19026-4406
Phone (610) 742-7278
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 |
|---|---|---|---|
| OC017972 | PA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| My Team ABA MD LLC | Current | Accepting new patients |
Locations
822 Montgomery Ave
Narberth, PA 19072
Phone (215) 220-2210
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1711324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711324800000",
"number": "1013767805",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "822 ANDERSON AVE",
"city": "DREXEL HILL",
"state": "PA",
"postal_code": "190264406",
"telephone_number": "610-742-7278"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "822 MONTGOMERY AVE",
"city": "NARBERTH",
"state": "PA",
"postal_code": "190721937",
"telephone_number": "215-220-2210"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BORIO",
"first_name": "JENNIFER",
"middle_name": "ROSE",
"name_prefix": "Dr.",
"credential": "OTD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-03-25",
"last_updated": "2024-03-25",
"certification_date": "2024-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "PA",
"license": "OC017972",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Narberth, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.