Individual provider Active NPI

Jonathan Louis Yencha, OTR/L

  • Occupational Therapist
  • Jamison, PA
National Provider Identifier
1255948295
Registry record updated Sep 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OC12768 Issued in PA
Practice address
2500 York Rd
Jamison, PA 18929-1068
Phone
(215) 293-9901
NPI assigned
Sep 24, 2020
Last updated
Sep 24, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2020

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 OC12768 PA Primary

Addresses

Primary practice location

2500 York Rd
Jamison, PA 18929-1068

Mailing address

231 Inverness Cir
Chalfont, PA 18914-3956

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL None
Other URL None

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
OC12768PAMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1600905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600905600000",
    "number": "1255948295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 INVERNESS CIR",
            "city": "CHALFONT",
            "state": "PA",
            "postal_code": "189143956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 YORK RD",
            "city": "JAMISON",
            "state": "PA",
            "postal_code": "189291068",
            "telephone_number": "215-293-9901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YENCHA",
        "first_name": "JONATHAN",
        "middle_name": "LOUIS",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-09-24",
        "last_updated": "2020-09-24",
        "certification_date": "2020-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC12768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "None",
            "affiliation": "N",
            "address_1": "2500 York Rd",
            "city": "Jamison",
            "state": "PA",
            "country_code": "US",
            "postal_code": "189291068",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "None",
            "affiliation": "N",
            "address_1": "2500 York Rd",
            "city": "Jamison",
            "state": "PA",
            "country_code": "US",
            "postal_code": "189291068",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jamison, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2020; 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.