Active NPI
Ingrid Schwantes Jackoway, OTR
- Occupational Therapist
- Wilmington, DE
National Provider Identifier
1285144683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- U1-0000111
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| U1-0000111 | DE | MD | Occupational Therapist |
| OC004045L | PA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Austill's Rehabilitation Services, Inc. | Occupational Therapist | Past | Accepting new patients |
| Opt Therapy Services LTD. | Occupational Therapist | Past | 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.
-
- Occupational Therapist
- Exton, PA
- NPI 1649594003
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.