Jacqueline A Fitzpatrick, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

004327 Issued in PA

Practice address

110 Church St
Philadelphia, PA 19106-2201

Phone

(267) 807-0550

NPI assigned

Dec 17, 2014

Last updated

May 6, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jacqueline A Gaval Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Elevated Kids

  • Behavior Analyst
  • Philadelphia, PA
  • NPI 1871128850

  Occupational Therapist

  NPD (past)

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

{
    "created_epoch": "1418774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778025600000",
    "number": "1336547744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 CHURCH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191062201",
            "telephone_number": "267-807-0550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 CHURCH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191062201",
            "telephone_number": "267-807-0550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZPATRICK",
        "first_name": "JACQUELINE",
        "middle_name": "A",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-17",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "004327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACQUELINE",
            "last_name": "GAVAL",
            "middle_name": "A",
            "credential": "OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Denise Fitzpatrick, MD
• Denise-Mary M Fitzpatrick, CRMP
• Epiphany Fitzpatrick
• Erin Kathryne Fitzpatrick, RN
• Erin Margaret Fitzpatrick, P.T.
• James T Fitzpatrick, MD
• Jane Moira Fitzpatrick, MD
• Janelle Fitzpatrick, LSW
• Janet Huang Fitzpatrick, MD
• Jeanmarie Fitzpatrick

• Occupational Therapist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Occupational Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2026; 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.