Individual provider Active NPI

Jocelyn Kolevas, MS, OTR/L

  • Pediatric Occupational Therapist
  • Wyomissing, PA
National Provider Identifier
1144551706
Registry record updated Sep 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
OC011240 Issued in PA
Practice address
9 Bristol CT
Wyomissing, PA 19610-1851
Phone
(610) 670-8600
NPI assigned
Jan 21, 2010
Last updated
Sep 27, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OC011240 PA
Pediatric Occupational Therapist 225XP0200X OC011240 PA Primary

Addresses

Primary practice location

9 Bristol CT
Wyomissing, PA 19610-1851

Mailing address

9 Bristol CT
Reading, PA 19610-1851
Phone (610) 670-8600

Other practice location 1

4819 Partridge Dr
Reading, PA 19606-2456
Phone (610) 505-2002

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
OC011240PAMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1264032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569542400000",
    "number": "1144551706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 BRISTOL CT",
            "city": "READING",
            "state": "PA",
            "postal_code": "196101851",
            "telephone_number": "610-670-8600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 BRISTOL CT",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196101851",
            "telephone_number": "610-670-8600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4819 Partridge Dr",
            "address_purpose": "LOCATION",
            "city": "Reading",
            "state": "PA",
            "postal_code": "196062456",
            "country_code": "US",
            "telephone_number": "610-505-2002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOLEVAS",
        "first_name": "JOCELYN",
        "credential": "MS, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-21",
        "last_updated": "2019-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC011240",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "PA",
            "license": "OC011240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyomissing, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2019; 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.