Individual provider Active NPI

Jerrika Hooven

  • Occupational Therapist
  • Bellefonte, PA
National Provider Identifier
1205323375
Registry record updated Apr 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OC014289 Issued in PA
Practice address
502 E Howard St
Bellefonte, PA 16823-2128
Phone
(814) 355-6777
NPI assigned
Apr 15, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OC014289 PA Primary

Addresses

Primary practice location

502 E Howard St
Bellefonte, PA 16823-2128

Mailing address

9913 Mahaffey Grampian Hwy
Grampian, PA 16838-8704

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

LicenseStateTypeSpecialty
OC014289PAMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1523750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523750400000",
    "number": "1205323375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9913 MAHAFFEY GRAMPIAN HWY",
            "city": "GRAMPIAN",
            "state": "PA",
            "postal_code": "168388704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 E HOWARD ST",
            "city": "BELLEFONTE",
            "state": "PA",
            "postal_code": "168232128",
            "telephone_number": "814-355-6777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOOVEN",
        "first_name": "JERRIKA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-15",
        "last_updated": "2018-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC014289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellefonte, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2018; 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.