Individual provider Active NPI

Jacquelyn Hope Kramer, OTD, OTR/L

  • Pediatric Occupational Therapist
  • Greensburg, PA
National Provider Identifier
1346857117
Registry record updated Aug 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
OC017005 Issued in PA
Practice address
938 Old State Route 66
Greensburg, PA 15601-8804
Phone
(724) 261-9136
NPI assigned
Sep 25, 2020
Last updated
Aug 28, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X OC017005 PA Primary

Addresses

Primary practice location

938 Old State Route 66
Greensburg, PA 15601-8804

Mailing address

938 Old State Route 66
Greensburg, PA 15601-8804
Phone (724) 261-9136

Other practice location 1

120 Irmc Dr
Indiana, PA 15701-3674
Phone (724) 357-7068

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210913000938 PA Practitioner - Occupational Therapist in Private Practice 6800292186 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Indiana Total Therapy Inc CurrentSince Jun 9, 2021 Accepting new patients
Indiana Total Therapy CurrentSince Jun 9, 2021 Accepting new patients

Locations

120 Irmc Dr
Ste 120
Indiana, PA 15701
Phone (724) 357-7068

120 Irmc Dr
Indiana, PA 15701
Phone (724) 357-7068

2010 Shelly Dr
Indiana, PA 15701
Phone (724) 349-2276

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/10717/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1600992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724803200000",
    "number": "1346857117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "938 OLD STATE ROUTE 66",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156018804",
            "telephone_number": "724-261-9136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "938 OLD STATE ROUTE 66",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156018804",
            "telephone_number": "724-261-9136"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 Irmc Dr",
            "address_purpose": "LOCATION",
            "city": "Indiana",
            "state": "PA",
            "postal_code": "157013674",
            "country_code": "US",
            "telephone_number": "724-357-7068",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRAMER",
        "first_name": "JACQUELYN",
        "middle_name": "HOPE",
        "name_prefix": "Dr.",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-25",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "PA",
            "license": "OC017005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2024; 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.