Individual provider Active NPI

Ingrid Schwantes Jackoway, OTR

  • Occupational Therapist
  • Wilmington, DE
National Provider Identifier
1285144683
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
U1-0000111 Issued in DE
Practice address
2502 Silverside Rd Ste 4
Wilmington, DE 19810-3740
Phone
(302) 478-3702
Fax
(302) 478-3703
NPI assigned
Oct 11, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 OC004045L PA
Occupational Therapist 225X00000X U1-0000111 DE Primary

Addresses

Primary practice location

2502 Silverside Rd Ste 4
Wilmington, DE 19810-3740

Mailing address

112 Great Circle Rd
Newark, DE 19711-2334
Phone (302) 235-1434

Other practice location 1

100 John Robert Thomas Dr
Exton, PA 19341-2652
Phone (610) 363-7009

Other names 1

  • Ingrid Miles Schwantes 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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
U1-0000111DEMDOccupational Therapist
OC004045LPAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Austill's Rehabilitation Services, Inc. Occupational Therapist Past Accepting new patients
Opt Therapy Services LTD. Occupational Therapist PastSince Nov 3, 2024 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1507680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1285144683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 GREAT CIRCLE RD",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197112334",
            "telephone_number": "302-235-1434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2502 SILVERSIDE RD STE 4",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198103740",
            "telephone_number": "302-478-3702",
            "fax_number": "302-478-3703"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 John Robert Thomas Dr",
            "address_purpose": "LOCATION",
            "city": "Exton",
            "state": "PA",
            "postal_code": "193412652",
            "country_code": "US",
            "telephone_number": "610-363-7009",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACKOWAY",
        "first_name": "INGRID",
        "middle_name": "SCHWANTES",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-11",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC004045L",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "DE",
            "license": "U1-0000111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "INGRID",
            "last_name": "SCHWANTES",
            "middle_name": "MILES",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.