NPIMap

Individual provider Active NPI

Jennifer A Barillo, OT

  • Occupational Therapist
  • Lake Ariel, PA
National Provider Identifier
1316930829
Registry record updated Sep 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OC005834L Issued in PA
Practice address
590 Gravity Road
Lake Ariel, PA 18436-4136
Phone
(570) 647-8445
Fax
(570) 647-8445
NPI assigned
Aug 30, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 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 OC005834L PA Primary

Addresses

Primary practice location

590 Gravity Road
Lake Ariel, PA 18436-4136

Mailing address

590 Gravity Rd
Lake Ariel, PA 18436-4136
Phone (570) 647-8445

Other identifiers 2

IdentifierTypeStateIssuer
843516OtherPAMANAGED PHYSICIAN NETWORK
843516OtherNYMANAGED PHYSICIAN NETWORK

Other names 1

  • Jennifer A Ferrit Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050222000305 PA Practitioner - Occupational Therapist in Private Practice 1153374996 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OC005834LPAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
St. Joseph'S Center Occupational Therapist CurrentSince Mar 28, 2018 Accepting new patients
No Limits Physical Therapy & Sports Medicine Center, LLC PastSince Jul 1, 2005 Accepting new patients
Pivot Physical Therapy of Pennsylvania, LLC Occupational Therapist Past Accepting new patients
Access Design PastSince Aug 1, 2011 Accepting new patients
Motion Physical Therapy Inc. Past Accepting new patients
St. Joseph'S Center PastSince Mar 28, 2018 Accepting new patients

Locations

2010 Adams Ave
Scranton, PA 18509
Phone (570) 342-8379

1401 Monroe Ave
Ste 1
Scranton, PA 18509

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1125360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316649600000",
    "number": "1316930829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "590 GRAVITY RD",
            "city": "LAKE ARIEL",
            "state": "PA",
            "postal_code": "184364136",
            "telephone_number": "570-647-8445",
            "fax_number": "570-647-8445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 GRAVITY ROAD",
            "city": "LAKE ARIEL",
            "state": "PA",
            "postal_code": "184364136",
            "telephone_number": "570-647-8445",
            "fax_number": "570-647-8445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARILLO",
        "first_name": "JENNIFER",
        "middle_name": "A",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-30",
        "last_updated": "2011-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC005834L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MANAGED PHYSICIAN NETWORK",
            "identifier": "843516",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MANAGED PHYSICIAN NETWORK",
            "identifier": "843516",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "FERRIT",
            "middle_name": "A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lake Ariel, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.