Individual provider Active NPI

Jenae Alexis Gallina, MOT, OTR/L

  • Physical Rehabilitation Occupational Therapist
  • Johnstown, PA
National Provider Identifier
1245624816
Registry record updated Mar 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Rehabilitation Occupational TherapistTaxonomy code 225XP0019X
Practice address
1225 Maken Dr
Johnstown, PA 15904-3402
Phone
(814) 242-5756
NPI assigned
Mar 22, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Rehabilitation Occupational Therapist 225XP0019X Primary

Addresses

Primary practice location

1225 Maken Dr
Johnstown, PA 15904-3402

Mailing address

1225 Maken Dr
Johnstown, PA 15904-3402
Phone (814) 242-5756

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

NPI Registry JSON

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

{
    "created_epoch": "1426982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426982400000",
    "number": "1245624816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 MAKEN DR",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159043402",
            "telephone_number": "814-242-5756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 MAKEN DR",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159043402",
            "telephone_number": "814-242-5756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLINA",
        "first_name": "JENAE",
        "middle_name": "ALEXIS",
        "name_prefix": "Mrs.",
        "credential": "MOT, OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-22",
        "last_updated": "2015-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnstown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2015; 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.