Thomas Jefferson University

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

N/A Issued in PA

Legal business name

THOMAS JEFFERSON UNIVERSITY

Practice address

130 S 9TH St
Suite 647
Philadelphia, PA 19107-5233

Phone

(215) 503-6791

NPI assigned

Feb 13, 2009

Organization subpart

No

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

Authorized official

Name

Janice P. Burke, PHD, OTR/LNPI 1720221500

Title

Co-Executive Director

Phone

(215) 503-2896

Specialties & licenses 3

Addresses

Other names 1

• Jefferson Elder Care Doing business as

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Janice P. Burke, OTR/L

  • Occupational Therapist
  • Philadelphia, PA
  • NPI 1720221500
  NPD (past) Authorized official
• Robert J Diecidue, DMD, MD

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Philadelphia, PA
  • NPI 1225069818
  NPD (past)
• Joseph F Spera, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Wilmington, DE
  • NPI 1043204027
  NPD (past)

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

{
    "created_epoch": "1234483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377648000000",
    "number": "1235378209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 S 9TH ST",
            "address_2": "SUITE 647",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191075233",
            "telephone_number": "215-503-6791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 S 9TH ST",
            "address_2": "SUITE 647",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191075233",
            "telephone_number": "215-503-6791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS JEFFERSON UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-13",
        "last_updated": "2013-08-28",
        "status": "A",
        "authorized_official_last_name": "BURKE",
        "authorized_official_first_name": "JANICE",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "CO-EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "215-503-2896",
        "authorized_official_credential": "PHD, OTR/L"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "N/A",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "N/A",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "N/A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jefferson Elder Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joseph Thomann, CRNA
• Thomas J Betteridge
• Thomas Jefferson Hospital
• Thomas Jefferson University
• Thomas Jefferson University
• Thomas Jefferson University
• Thomas Jefferson University
• Thomas Jefferson University
• Thomas Jefferson University
• Thomas Jefferson University

• Occupational Therapist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Occupational Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2013; 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.