Jody Allbaugh, OTR
Individual provider Active NPI Occupational Therapist · Wilmington, DE
NPI 1295986800 · NPPES record last updated Oct 2, 2008
Key facts
- NPI
- 1295986800
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- OC005073L (PA)
- Practice address
- 13TH & Broom STS
Wilmington, DE 19806-4227 - Phone
- (610) 356-7355
- NPI assigned
- Oct 2, 2008
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| U1-0000414 | DE | MD | Occupational Therapist |
| OC005073L | PA | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OC005073L | PA | Yes |
| Occupational Therapist | 225X00000X | U1-0000414 | DE |
Addresses
Primary practice location
13TH & Broom STS
Wilmington, DE 19806-4227
Mailing address
106 Quail Ridge LN
Stroudsburg, PA 18360-8186
Phone (570) 992-3880
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All providers in Wilmington, DE · Occupational Therapist in Delaware
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 2, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.