Individual provider Active NPI

Julissa Uchaker, MS OTR/L

  • Occupational Therapist
  • Euclid, OH
National Provider Identifier
1053927855
Registry record updated Sep 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Practice address
20400 Arbor Ave
Euclid, OH 44123-3160
Phone
(216) 797-6200
NPI assigned
Sep 17, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OH Primary

Addresses

Primary practice location

20400 Arbor Ave
Euclid, OH 44123-3160

Mailing address

7392 Churchill SQ
Mentor, OH 44060-4766
Phone (440) 867-3412

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)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Fox Rehabilitation Services Oh, LLC Occupational Therapist CurrentSince Dec 1, 2021 Accepting new patients

Locations

7 Carnegie Plz
Cherry Hill, NJ 08003

6525 N High St
Worthington, OH 43085
Phone (332) 230-2813

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": "1600300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600300800000",
    "number": "1053927855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7392 CHURCHILL SQ",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440604766",
            "telephone_number": "440-867-3412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20400 ARBOR AVE",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441233160",
            "telephone_number": "216-797-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UCHAKER",
        "first_name": "JULISSA",
        "credential": "MS OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-17",
        "last_updated": "2020-09-17",
        "certification_date": "2020-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Euclid, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.