Individual provider Active NPI

Jessica Ann Scarmozzi, MS, OTR/L

  • Occupational Therapist
  • New Castle, DE
National Provider Identifier
1114109584
Registry record updated Dec 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
U1-0001374 Issued in DE
Practice address
904 Churchmans Road Ext
New Castle, DE 19720-3151
Phone
(302) 323-1118
Fax
(302) 323-1173
NPI assigned
Nov 28, 2007
Last updated
Dec 8, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2021

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 U1-0001374 DE Primary

Addresses

Primary practice location

904 Churchmans Road Ext
New Castle, DE 19720-3151

Mailing address

21 Winsome Way
Newark, DE 19702-6313
Phone (302) 598-7267

Other identifiers 1

IdentifierTypeStateIssuer
225X00000XMedicaidDE

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
U1-0001374DEMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1196208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638921600000",
    "number": "1114109584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 WINSOME WAY",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197026313",
            "telephone_number": "302-598-7267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 CHURCHMANS ROAD EXT",
            "city": "NEW CASTLE",
            "state": "DE",
            "postal_code": "197203151",
            "telephone_number": "302-323-1118",
            "fax_number": "302-323-1173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCARMOZZI",
        "first_name": "JESSICA",
        "middle_name": "ANN",
        "credential": "MS, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-28",
        "last_updated": "2021-12-08",
        "certification_date": "2021-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "DE",
            "license": "U1-0001374",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "225X00000X",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Castle, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2021; 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.