Jennifer Bielecki, MS, OT/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

210074958 Issued in PA

Practice address

1401 Pershing Blvd
Shillington, PA 19607-1485

Phone

(610) 463-5937

NPI assigned

Jul 6, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1625529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625529600000",
    "number": "1356912919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 W CHARLES ST",
            "city": "WERNERSVILLE",
            "state": "PA",
            "postal_code": "195651203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 PERSHING BLVD",
            "city": "SHILLINGTON",
            "state": "PA",
            "postal_code": "196071485",
            "telephone_number": "610-463-5937"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "157 W Charles St",
            "address_purpose": "LOCATION",
            "city": "Wernersville",
            "state": "PA",
            "postal_code": "195651203",
            "country_code": "US",
            "telephone_number": "610-463-5937",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BIELECKI",
        "first_name": "JENNIFER",
        "credential": "MS, OT/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-06",
        "last_updated": "2021-07-06",
        "certification_date": "2021-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "210074958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2021; 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.