Jessica Eden Hudnall, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OC021133 Issued in PA

Practice address

123 Five Points Richmond Rd
Bangor, PA 18013-5224

Phone

(610) 599-7015

NPI assigned

Jul 13, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jessica Eden Mabus Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1184284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761177600000",
    "number": "1295934834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 CRESTMONT ST",
            "city": "PEN ARGYL",
            "state": "PA",
            "postal_code": "180729680",
            "telephone_number": "610-248-2686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 FIVE POINTS RICHMOND RD",
            "city": "BANGOR",
            "state": "PA",
            "postal_code": "180135224",
            "telephone_number": "610-599-7015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDNALL",
        "first_name": "JESSICA",
        "middle_name": "EDEN",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-13",
        "last_updated": "2025-10-23",
        "certification_date": "2025-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC021133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "MABUS",
            "middle_name": "EDEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Thomas Heath, CCC-SLP
• Heavenly Vision
• Kaley Hippensteal
• Brigitte Renee Hoffman, M.A.
• Kathleen Anne Hope, DPM
• Nico Italiani
• Kelly Jaczynski
• Stephanie Kettle, OTR/L
• Anna Joy King, COTA
• Debra Knicos, MA ATR-BC LCAT

• Occupational Therapist in Bangor, PA
• Providers in Bangor, PA by specialty
• Occupational Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2025; 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.