Active NPI
Jennifer R Ferchalk, OTR
- Occupational Therapist
- Somerset, PA
National Provider Identifier
1255337655
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Practice address
- 917 W Main St
Somerset, PA 15501-1213 - Phone
- (814) 443-2933
- Fax
- (814) 443-4695
- NPI assigned
- Jun 22, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | Primary |
Addresses
Primary practice location
917 W Main St
Somerset, PA 15501-1213
Mailing address
PO Box 338
Johnstown, PA 15907-0338
Phone (814) 535-3656
Other names 1
- Jennifer R Conrad
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Camco Physical & Occupational Therapy LLC | Occupational Therapist | Past | Accepting new patients |
| Rascona Physical Therapy LLC | Past | Accepting new patients | |
| Laurel Medical Supplies, Inc. | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Occupational Therapist
- Somerset, PA
- NPI 1801892203
-
dba Golden Orthotics and Prothetics
- Prosthetic/Orthotic Supplier
- Johnstown, PA
- NPI 1144459181
-
- Physical Therapist
- Somerset, PA
- NPI 1801840301
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1390780800000",
"number": "1255337655",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 338",
"city": "JOHNSTOWN",
"state": "PA",
"postal_code": "159070338",
"telephone_number": "814-535-3656",
"fax_number": "814-536-2096"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "917 W MAIN ST",
"city": "SOMERSET",
"state": "PA",
"postal_code": "155011213",
"telephone_number": "814-443-2933",
"fax_number": "814-443-4695"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERCHALK",
"first_name": "JENNIFER",
"middle_name": "R",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-22",
"last_updated": "2014-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "CONRAD",
"middle_name": "R",
"credential": "OTR",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Somerset, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.