Jaclyn A Santangelo, MOT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

WV001014 Issued in WV

Practice address

3705 Teays Valley Rd
Suite 100
Hurricane, WV 25526-9645

Phone

(304) 757-2500

Fax

(304) 757-2586

NPI assigned

Dec 15, 2006

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 6

Other names 1

• Miss Jaclyn A Reed Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Generations R.C., Inc

  dba Generations PT of Barboursville

  • Physical Therapist
  • Barboursville, WV
  • NPI 1609930379
  NPD (past)
• Generations R.C., Inc.

  dba Phys. Ctr. of Scott-Teays

  • Physical Therapist
  • Hurricane, WV
  • NPI 1144384421
  NPD (past)
• Generations R.C., Inc.

  dba Generations Physical Therapy

  • Physical Therapist
  • Benwood, WV
  • NPI 1578363701
  NPD (past)
• Generations R.C., Inc.

  dba Physical Therapy of Milton

  • Physical Therapist
  • Milton, WV
  • NPI 1982768586
  NPD (past)

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1205998986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 PLANTATION DR",
            "city": "HURRICANE",
            "state": "WV",
            "postal_code": "255269063",
            "telephone_number": "304-757-3240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3705 TEAYS VALLEY RD",
            "address_2": "SUITE 100",
            "city": "HURRICANE",
            "state": "WV",
            "postal_code": "255269645",
            "telephone_number": "304-757-2500",
            "fax_number": "304-757-2586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTANGELO",
        "first_name": "JACLYN",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "MOT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-15",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WV",
            "license": "WV001014",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1714909",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7104487",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKERS COMP",
            "identifier": "1062861",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7503100-000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "311504453",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACORDIA",
            "identifier": "311504453",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACLYN",
            "last_name": "REED",
            "middle_name": "A",
            "prefix": "MISS",
            "credential": "MOT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tracey Sammons
• Patsy Samples, PCA
• Samuel D O'Dell, DDS, Inc
• Carlee Jane Sang
• Christopher M Santangelo, PA-C
• Sara Sampson
• Carla Saunders, PA-C
• Carly Saunders, M.S., CCC/SLP
• Marina Nicole Saunders
• Joanna Savage

• Occupational Therapist in Hurricane, WV
• Providers in Hurricane, WV by specialty
• Occupational Therapist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.