Active NPI
Jaclyn Miley
- Occupational Therapist
- Newtown, PA
National Provider Identifier
1023999018
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OC014450
- Practice address
- 115 Pheasant Run Ste 215
Newtown, PA 18940-1886 - Phone
- (215) 550-6109
- NPI assigned
- Sep 8, 2025
- Last updated
- Sep 8, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 | OC014450 | PA | Primary |
Addresses
Primary practice location
115 Pheasant Run Ste 215
Newtown, PA 18940-1886
Mailing address
312 Forest Ave
Willow Grove, PA 19090-2811
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 |
|---|---|---|---|
| OC014450 | PA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1757289600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757289600000",
"number": "1023999018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "312 FOREST AVE",
"city": "WILLOW GROVE",
"state": "PA",
"postal_code": "190902811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 PHEASANT RUN STE 215",
"city": "NEWTOWN",
"state": "PA",
"postal_code": "189401886",
"telephone_number": "215-550-6109"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILEY",
"first_name": "JACLYN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-09-08",
"last_updated": "2025-09-08",
"certification_date": "2025-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "PA",
"license": "OC014450",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newtown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.