Jacqueline Lynn Elick, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OC009901 Issued in PA

Practice address

685 Carey Ave
Hanover Township, PA 18706-5489

Phone

(570) 829-0539

Fax

(570) 829-4036

NPI assigned

Oct 22, 2012

Last updated

Jan 13, 2015By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1350864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421107200000",
    "number": "1528311065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 INNOVATION DRIVE",
            "city": "BLAIRSVILLE",
            "state": "PA",
            "postal_code": "157178096",
            "telephone_number": "724-343-4060",
            "fax_number": "724-343-4069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "685 CAREY AVE",
            "city": "HANOVER TOWNSHIP",
            "state": "PA",
            "postal_code": "187065489",
            "telephone_number": "570-829-0539",
            "fax_number": "570-829-4036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELICK",
        "first_name": "JACQUELINE",
        "middle_name": "LYNN",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-22",
        "last_updated": "2015-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC009901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Neil J Donahue, LCSW
• Dr. Deborah Smith Mileski
• Dana Rae Draina, CRNP
• Jamie Ann Rose Evanko, PHARMD
• Joyce Fasula
• Lisa Z Flick, LCSW
• Mary Beth Frye, LCSW
• Catherine Frances Gallagher, OT

• Occupational Therapist in Hanover Township, PA
• Providers in Hanover Township, PA by specialty
• Occupational Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2015; 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.