Jolene Nicole Pyne
Individual provider Active NPI Occupational Therapist · Brockway, PA
NPI 1144801713 · NPPES record last updated Apr 15, 2021
Key facts
- NPI
- 1144801713
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- OC015739 (PA)
- Practice address
- 90 Main St
Brockway, PA 15824-1038 - Phone
- (814) 265-8265
- NPI assigned
- Apr 15, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OC015739 | PA | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OC015739 | PA | Yes |
Addresses
Primary practice location
90 Main St
Brockway, PA 15824-1038
Mailing address
816 Birch Rd
Saint Marys, PA 15857-2104
Phone (814) 594-7794
Other providers in Brockway, PA
- Quade Lundberg
- Quinn L Lundberg Jr.
- Luann Mabie
- Ronald Edward Matson
- Jodi Pierson Neal
- Quinn L. Lundberg, Jr., DMD
- Danielle Nicole Rhodes
- Edwin Richard Schlemmer
- Jessica M Schuckers
- Suzanne Scott
All providers in Brockway, PA · Occupational Therapist in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 15, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.