Individual provider Active NPI

Jennie H. Engel, OTR/L

  • Occupational Therapist
  • Coraopolis, PA
National Provider Identifier
1295986636
Registry record updated Dec 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OC009529 Issued in PA
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

Updated by the provider on Dec 30, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1023280730001MedicaidPA

Other names 1

  • Jennie H. Kane 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
OC009529PAMDOccupational 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.

Verify at the official NPI Registry.