Individual provider Active NPI

Jessica L Sheffler, OTR

  • Occupational Therapist
  • Delmont, PA
National Provider Identifier
1093754301
Registry record updated Nov 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OC08113 Issued in PA
Practice address
6729 Fieldcrest Dr
Delmont, PA 15626-7209
Phone
(724) 216-5157
Fax
(724) 325-1215
NPI assigned
Jun 5, 2006
Last updated
Nov 3, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2008

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 OC08113 PA Primary

Addresses

Primary practice location

6729 Fieldcrest Dr
Delmont, PA 15626-7209

Mailing address

233 Calvary Hill Rd
Latrobe, PA 15650-9419
Phone (724) 787-3363

Other identifiers 1

IdentifierTypeStateIssuer
01863608MedicaidPA

Other names 1

  • Miss Jessica L Wilson Former name

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
OC08113PAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Tammy Manns Occupational Therapist 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.

NPI Registry JSON

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225670400000",
    "number": "1093754301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 CALVARY HILL RD",
            "city": "LATROBE",
            "state": "PA",
            "postal_code": "156509419",
            "telephone_number": "724-787-3363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6729 FIELDCREST DR",
            "city": "DELMONT",
            "state": "PA",
            "postal_code": "156267209",
            "telephone_number": "724-216-5157",
            "fax_number": "724-325-1215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEFFLER",
        "first_name": "JESSICA",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-05",
        "last_updated": "2008-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC08113",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01863608",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "WILSON",
            "middle_name": "L",
            "prefix": "MISS",
            "credential": "OTR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Delmont, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2008; 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.