Individual provider Active NPI

Jemimah Chan

  • Occupational Therapy Assistant
  • Newark, DE
National Provider Identifier
1083521264
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
U2-0012350 Issued in DE
Practice address
630 Churchmans Rd Ste 100a
Newark, DE 19702-1943
Phone
(302) 544-5055
NPI assigned
Aug 25, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X U2-0012350 DE Primary

Addresses

Primary practice location

630 Churchmans Rd Ste 100a
Newark, DE 19702-1943

Mailing address

630 Churchmans Rd Ste 100a
Newark, DE 19702-1943
Phone (302) 544-5055

Other names 1

  • Jemi Chan Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1787616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787616000000",
    "number": "1083521264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 CHURCHMANS RD STE 100A",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197021943",
            "telephone_number": "302-544-5055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 CHURCHMANS RD STE 100A",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197021943",
            "telephone_number": "302-544-5055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN",
        "first_name": "JEMIMAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-08-25",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "DE",
            "license": "U2-0012350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEMI",
            "last_name": "CHAN",
            "credential": "COTA/L",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Newark, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.