Individual provider Active NPI

Johanna Sasha Engel

  • Occupational Therapist
  • Wynnewood, PA
National Provider Identifier
1427362144
Registry record updated Aug 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OC011047 Issued in PA
Practice address
1445 City Line Ave
Suite 1
Wynnewood, PA 19096-3831
Phone
(610) 642-4029
Fax
(610) 642-7318
NPI assigned
Aug 5, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2010

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 OC011047 PA Primary

Addresses

Primary practice location

1445 City Line Ave
Suite 1
Wynnewood, PA 19096-3831

Mailing address

1445 City Line Ave
Suite 1
Wynnewood, PA 19096-3831
Phone (610) 642-4029

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101208001213 PA Practitioner - Occupational Therapist in Private Practice 2466649082 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OC011047PAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Occupational Therapy and Rehabilitation Services of Pennsylvania P C Occupational Therapist CurrentSince Jul 26, 2023 Accepting new patients
Occupational Therapy & Rehabilitation Services of NJ, P.C. Occupational Therapist Past Accepting new patients

Locations

1445 City Line Ave
Ste 1
Wynnewood, PA 19096
Phone (610) 642-4029

1445 City Ave
Ste 1-2
Wynnewood, PA 19096
Phone (610) 642-4029

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1280966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280966400000",
    "number": "1427362144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1445 CITY LINE AVE",
            "address_2": "SUITE 1",
            "city": "WYNNEWOOD",
            "state": "PA",
            "postal_code": "190963831",
            "telephone_number": "610-642-4029",
            "fax_number": "610-642-7318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1445 CITY LINE AVE",
            "address_2": "SUITE 1",
            "city": "WYNNEWOOD",
            "state": "PA",
            "postal_code": "190963831",
            "telephone_number": "610-642-4029",
            "fax_number": "610-642-7318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENGEL",
        "first_name": "JOHANNA",
        "middle_name": "SASHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-05",
        "last_updated": "2010-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC011047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wynnewood, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2010; 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.