Active NPI
Jennie H. Engel, OTR/L
- Occupational Therapist
- Coraopolis, PA
National Provider Identifier
1295986636
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OC009529
- Practice address
- 401 Locust Street
Suite 2a
Coraopolis, PA 15108-3954 - Phone
- (412) 299-0704
- Fax
- (412) 299-2823
- NPI assigned
- Oct 3, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OC009529 | PA | Primary |
Addresses
Primary practice location
401 Locust Street
Suite 2a
Coraopolis, PA 15108-3954
Mailing address
401 Locust Street
Suite 2a
Coraopolis, PA 15108-3954
Phone (412) 299-0704
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023280730001 | Medicaid | PA |
Other names 1
- Jennie H. Kane
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
| License | State | Type | Specialty |
|---|---|---|---|
| OC009529 | PA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1325203200000",
"number": "1295986636",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 LOCUST STREET",
"address_2": "SUITE 2A",
"city": "CORAOPOLIS",
"state": "PA",
"postal_code": "151083954",
"telephone_number": "412-299-0704",
"fax_number": "412-299-2823"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 LOCUST STREET",
"address_2": "SUITE 2A",
"city": "CORAOPOLIS",
"state": "PA",
"postal_code": "151083954",
"telephone_number": "412-299-0704",
"fax_number": "412-299-2823"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENGEL",
"first_name": "JENNIE",
"middle_name": "H.",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-10-03",
"last_updated": "2011-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "PA",
"license": "OC009529",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1023280730001",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIE",
"last_name": "KANE",
"middle_name": "H.",
"credential": "OTR/L",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Coraopolis, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.