Individual provider Active NPI

Jacqueline Elizabeth Yurkanin, OTR/L

  • Pediatric Occupational Therapist
  • Wyoming, PA
National Provider Identifier
1265030837
Registry record updated May 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
OC017150 Issued in PA
Practice address
311 Wyoming Ave
Wyoming, PA 18644-1620
Phone
(570) 336-0309
Fax
(272) 207-2774
NPI assigned
Oct 15, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OC017150 PA
Pediatric Occupational Therapist 225XP0200X OC017150 PA Primary

Addresses

Primary practice location

311 Wyoming Ave
Wyoming, PA 18644-1620

Mailing address

PO Box 241
Dallas, PA 18612-0241
Phone (570) 336-0309

Other names 1

  • Jacqueline Elizabeth Strausser Former name

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

State licenses

LicenseStateTypeSpecialty
OC017150PAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Well-Nurtured Development Occupational Therapist CurrentSince May 28, 2023 Accepting new patients

Locations

301 Lake St
Dallas, PA 18612
Phone (570) 674-6954

960 Wyoming Ave
Forty Fort, PA 18704
Phone (570) 287-8887

311 Wyoming Ave
Wyoming, PA 18644
Phone (570) 336-0309

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1602720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684800000000",
    "number": "1265030837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 241",
            "city": "DALLAS",
            "state": "PA",
            "postal_code": "186120241",
            "telephone_number": "570-336-0309",
            "fax_number": "272-207-2774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 WYOMING AVE",
            "city": "WYOMING",
            "state": "PA",
            "postal_code": "186441620",
            "telephone_number": "570-336-0309",
            "fax_number": "272-207-2774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YURKANIN",
        "first_name": "JACQUELINE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-15",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC017150",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "PA",
            "license": "OC017150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACQUELINE",
            "last_name": "STRAUSSER",
            "middle_name": "ELIZABETH",
            "credential": "OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wyoming, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2023; 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.