Active NPI
Jennifer Wyckoff, MSOTRL
- Occupational Therapist
- Langhorne, PA
National Provider Identifier
1114110343
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OC010096
- Practice address
- 350 Manor Ave
Langhorne, PA 19047-2943 - Phone
- (215) 757-7667
- Fax
- (215) 750-1426
- NPI assigned
- Aug 21, 2007
- 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 | OC010096 | PA | Primary |
Addresses
Primary practice location
350 Manor Ave
Langhorne, PA 19047-2943
Mailing address
350 Manor Ave
Langhorne, PA 19047-2943
Phone (215) 757-7667
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 |
|---|---|---|---|
| OC010096 | PA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187654400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187654400000",
"number": "1114110343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 MANOR AVE",
"city": "LANGHORNE",
"state": "PA",
"postal_code": "190472943",
"telephone_number": "215-757-7667",
"fax_number": "215-750-1426"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 MANOR AVE",
"city": "LANGHORNE",
"state": "PA",
"postal_code": "190472943",
"telephone_number": "215-757-7667",
"fax_number": "215-750-1426"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WYCKOFF",
"first_name": "JENNIFER",
"name_prefix": "Mrs.",
"credential": "MSOTRL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-21",
"last_updated": "2007-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "PA",
"license": "OC010096",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Langhorne, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.