Individual provider Active NPI

Jessica Dishler, MSOT, OTR/L

  • Occupational Therapist
  • Mechanicsburg, PA
National Provider Identifier
1063723377
Registry record updated Mar 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OC012219 Issued in PA
Practice address
186 Melbourne LN
Mechanicsburg, PA 17055-6673
Phone
(724) 462-5684
NPI assigned
Jul 1, 2010
Last updated
Mar 9, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 4593 AZ
Occupational Therapist 225X00000X OC012219 PA Primary

Addresses

Primary practice location

186 Melbourne LN
Mechanicsburg, PA 17055-6673

Mailing address

186 Melbourne LN
Mechanicsburg, PA 17055-6673
Phone (724) 462-5684

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

LicenseStateTypeSpecialty
4593AZMDOccupational Therapist
OC012219PAMDOccupational Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1277942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331251200000",
    "number": "1063723377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "186 MELBOURNE LN",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170556673",
            "telephone_number": "724-462-5684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "186 MELBOURNE LN",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170556673",
            "telephone_number": "724-462-5684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DISHLER",
        "first_name": "JESSICA",
        "credential": "MSOT, OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-01",
        "last_updated": "2012-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AZ",
            "license": "4593",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC012219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mechanicsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 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.

Verify at the official NPI Registry.