Active NPI
Jillian Serowatka
- Occupational Therapist
- Newtown Square, PA
National Provider Identifier
1083016562
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Practice address
- 3500 W Chester Pike
Newtown Square, PA 19073-4101 - Phone
- (610) 359-4421
- Fax
- (610) 353-4651
- NPI assigned
- Sep 16, 2014
- Last updated
- Apr 22, 2019
- 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 | NU | Primary |
Addresses
Primary practice location
3500 W Chester Pike
Newtown Square, PA 19073-4101
Mailing address
8592 Old Line Rd
Philadelphia, PA 19128-1230
Phone (267) 879-9714
Other names 1
- Jillian Carl
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bayada Home Health Care, Inc. | Past | Accepting new patients |
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.
-
- Home Health Agency
- Newtown Square, PA
- NPI 1497796544
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555891200000",
"number": "1083016562",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8592 OLD LINE RD",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191281230",
"telephone_number": "267-879-9714"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3500 W CHESTER PIKE",
"city": "NEWTOWN SQUARE",
"state": "PA",
"postal_code": "190734101",
"telephone_number": "610-359-4421",
"fax_number": "610-353-4651"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEROWATKA",
"first_name": "JILLIAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-09-16",
"last_updated": "2019-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JILLIAN",
"last_name": "CARL",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Newtown Square, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.