Active NPI
Jenna Pendleton, OTR/L
- Occupational Therapist
- Lititz, PA
National Provider Identifier
1306355078
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OC014686
- Practice address
- 300 W Lemon St
Lititz, PA 17543-2311 - Phone
- (717) 625-6158
- Fax
- (717) 625-7791
- NPI assigned
- Sep 26, 2017
- 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 | OC014686 | PA | Primary |
Addresses
Primary practice location
300 W Lemon St
Lititz, PA 17543-2311
Mailing address
157 Baltimore St Ste 200
Cumberland, MD 21502-2472
Phone (301) 722-3215
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 |
|---|---|---|---|
| OC014686 | PA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1506384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1506384000000",
"number": "1306355078",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "157 BALTIMORE ST STE 200",
"city": "CUMBERLAND",
"state": "MD",
"postal_code": "215022472",
"telephone_number": "301-722-3215",
"fax_number": "301-722-1028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 W LEMON ST",
"city": "LITITZ",
"state": "PA",
"postal_code": "175432311",
"telephone_number": "717-625-6158",
"fax_number": "717-625-7791"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PENDLETON",
"first_name": "JENNA",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-26",
"last_updated": "2017-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "PA",
"license": "OC014686",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lititz, PA
- Melissa Paulin, SENIOR PAYER ENROLLM
- Jennifer M Payne, MD
- Pediatric Partners,P.C.
- Pediatrix Medical Group of Pennsylvania, P.C.
- Pediatrix Medical Group of Pennsylvania, P.C.
- Pennsylvania CVS Pharmacy LLC (CVS Pharmacy # 02297)
- Pennsylvania CVS Pharmacy LLC (CVS Pharmacy #17569)
- Pennsylvania CVS Pharmacy, L.L.C. (CVS Pharmacy #01667)
- Pennsylvania Institute of Endocrinology LLC
- Phoebe Services Inc (Phoebe Services Pharmacy)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.