Active NPI
Jana U Poole, OTR/L, CHT
- Occupational Therapist
- Hershey, PA
National Provider Identifier
1104122894
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OC002145L
- Practice address
- 30 Hope Dr
MC Ec130
Hershey, PA 17033-2036 - Phone
- (717) 531-8070
- Fax
- (717) 531-0138
- NPI assigned
- Jan 28, 2011
- Sex
- Female
- Sole proprietor
- No
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
| License | State | Type | Specialty |
|---|---|---|---|
| OC002145L | PA | MD | Occupational Therapist |
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 | OC002145L | PA | Primary |
Addresses
Primary practice location
30 Hope Dr
MC Ec130
Hershey, PA 17033-2036
Mailing address
500 University Dr
MC A410
Hershey, PA 17033-2360
Phone (800) 243-1455
NPI Registry JSON
{
"created_epoch": "1296172800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1296172800000",
"number": "1104122894",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 UNIVERSITY DR",
"address_2": "MC A410",
"city": "HERSHEY",
"state": "PA",
"postal_code": "170332360",
"telephone_number": "800-243-1455",
"fax_number": "717-531-7269"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 HOPE DR",
"address_2": "MC EC130",
"city": "HERSHEY",
"state": "PA",
"postal_code": "170332036",
"telephone_number": "717-531-8070",
"fax_number": "717-531-0138"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POOLE",
"first_name": "JANA",
"middle_name": "U",
"credential": "OTR/L, CHT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-01-28",
"last_updated": "2011-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "PA",
"license": "OC002145L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hershey, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.