Active NPI
Jenna Pagel, MOT, OTR/L
- Occupational Therapist
- Wooster, OH
National Provider Identifier
1154797983
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 7955
- Practice address
- 1571 Christmas Run Blvd
Wooster, OH 44691-1503 - Phone
- (330) 827-5105
- NPI assigned
- Aug 16, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 | 7955 | OH | Primary |
Addresses
Primary practice location
1571 Christmas Run Blvd
Wooster, OH 44691-1503
Mailing address
166 Par View Dr
Pataskala, OH 43062-8991
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 |
|---|---|---|---|
| 7955 | OH | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1573948800000",
"number": "1154797983",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "166 PAR VIEW DR",
"city": "PATASKALA",
"state": "OH",
"postal_code": "430628991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1571 CHRISTMAS RUN BLVD",
"city": "WOOSTER",
"state": "OH",
"postal_code": "446911503",
"telephone_number": "330-827-5105"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAGEL",
"first_name": "JENNA",
"credential": "MOT, OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-08-16",
"last_updated": "2019-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "OH",
"license": "7955",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wooster, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.