Active NPI
Jessica Rae Engle, OCCUPATIONAL THERAPI
- Occupational Therapist
- Weirton, WV
National Provider Identifier
1184892960
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 1633
- Practice address
- 601 Colliers Way
Weirton, WV 26062-5014 - Phone
- (412) 915-9062
- NPI assigned
- Feb 14, 2008
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OC009146 | PA | |
| Occupational Therapist | 225X00000X | OT.008516 | OH | |
| Occupational Therapist | 225X00000X | 1633 | WV | Primary |
Addresses
Primary practice location
601 Colliers Way
Weirton, WV 26062-5014
Mailing address
92 Braxton Rd
Weirton, WV 26062-3902
Phone (412) 915-9062
Other practice location 1
3950 Brodhead Rd
Suite 300
Monaca, PA 15061-3030
Phone (724) 774-8245
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OC009146 | Other | PA | OT LICENSE |
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 |
|---|---|---|---|
| 1633 | WV | MD | Mental Health Counselor |
| OT.008516 | OH | MD | Occupational Therapist |
| OC009146 | PA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Progressive Home Health, Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Home Health Agency
- Monaca, PA
- NPI 1033114855
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650412800000",
"number": "1184892960",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "92 BRAXTON RD",
"city": "WEIRTON",
"state": "WV",
"postal_code": "260623902",
"telephone_number": "412-915-9062"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 COLLIERS WAY",
"city": "WEIRTON",
"state": "WV",
"postal_code": "260625014",
"telephone_number": "412-915-9062"
}
],
"practiceLocations": [
{
"address_1": "3950 Brodhead Rd",
"address_2": "Suite 300",
"address_purpose": "LOCATION",
"city": "Monaca",
"state": "PA",
"postal_code": "150613030",
"country_code": "US",
"telephone_number": "724-774-8245",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ENGLE",
"first_name": "JESSICA",
"middle_name": "RAE",
"name_prefix": "Mrs.",
"credential": "OCCUPATIONAL THERAPI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-02-14",
"last_updated": "2022-04-20",
"certification_date": "2022-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "PA",
"license": "OC009146",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "OH",
"license": "OT.008516",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WV",
"license": "1633",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OT LICENSE",
"identifier": "OC009146",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Weirton, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.