Individual provider Active NPI

Teri J Speakman, OTR L CHT

  • Hand Occupational Therapist
  • Paoli, PA
National Provider Identifier
1558377416
Registry record updated May 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
OC004551L Issued in PA
Practice address
4 Industrial Blvd Ste 100
Paoli, PA 19301-1614
Phone
(610) 768-1669
NPI assigned
Jul 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Occupational Therapist 225XH1200X OC004551L PA Primary

Addresses

Primary practice location

4 Industrial Blvd Ste 100
Paoli, PA 19301-1614

Mailing address

PO Box 34990
Belfast, ME 04915-0627
Phone (610) 359-5672

Other practice location 1

250 Lancaster Ave
#225
Paoli, PA 19301
Phone (610) 651-8282

Other names 1

  • Teri J Campbell Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101229000424 PA Practitioner - Occupational Therapist in Private Practice 3577751924 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

834 Chestnut St
Suite G114
Philadelphia, PA 19107-5114
Phone (215) 521-3001

Merit-based Incentive Payment System (MIPS)

Final score
96.6 of 100Reported as group
Promoting interoperability
96
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OC004551LPAMDHand Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Orthopaedic and Sports Medicine Associates, LTD CurrentSince Jan 1, 2024 Accepting new patients
Premier Orthopaedic and Sports Medicine Associates LTD Occupational Therapist CurrentSince Jan 1, 2024 Accepting new patients

Locations

2004 Sproul Rd
Fl 1
Broomall, PA 19008
Phone (610) 353-0800

4 Industrial Blvd
Ste 100
Paoli, PA 19301
Phone (610) 768-1660

834 Chestnut St
Ste G114
Philadelphia, PA 19107
Phone (215) 521-3000

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": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717113600000",
    "number": "1558377416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34990",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049150627",
            "telephone_number": "610-359-5672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 INDUSTRIAL BLVD STE 100",
            "city": "PAOLI",
            "state": "PA",
            "postal_code": "193011614",
            "telephone_number": "610-768-1669"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "250 Lancaster Ave",
            "address_2": "#225",
            "address_purpose": "LOCATION",
            "city": "Paoli",
            "state": "PA",
            "postal_code": "19301",
            "country_code": "US",
            "telephone_number": "610-651-8282",
            "fax_number": "610-651-8283",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPEAKMAN",
        "first_name": "TERI",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "OTR L CHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2024-05-31",
        "certification_date": "2024-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "PA",
            "license": "OC004551L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TERI",
            "last_name": "CAMPBELL",
            "middle_name": "J",
            "credential": "OTR L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Paoli, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.