Individual provider Active NPI

Jamie Lee Opela

  • Occupational Therapist
  • Williamsport, PA
National Provider Identifier
1609417310
Registry record updated Jun 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OC014991 Issued in PA
Practice address
700 High St
Williamsport, PA 17701-3100
Phone
(607) 242-2695
NPI assigned
Oct 3, 2019
Last updated
Jun 18, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 021321-01 NY
Occupational Therapist 225X00000X OC014991 PA Primary

Addresses

Primary practice location

700 High St
Williamsport, PA 17701-3100

Mailing address

236 Burts Rd
Kirkwood, NY 13795-1731
Phone (607) 242-2695

Other practice location 1

236 Burts Rd
Kirkwood, NY 13795-1731
Phone (607) 242-2695

Other practice location 2

15 Ridgecrest Cir
Lewisburg, PA 17837-6367
Phone (607) 242-2695

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230801000054 NY Practitioner - Occupational Therapist in Private Practice 6305207804 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1715 Castle Gardens Rd
Vestal, NY 13850-1175
Phone (607) 748-5700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OC014991PAMDOccupational Therapist
021321NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
PRN Physical, Occupational and Speech Therapy Network, PLLC CurrentSince Jul 1, 2023 Accepting new patients
PRN Physical, Occupational and Speech Therapy Network, PLLC CurrentSince Jul 1, 2023 Accepting new patients

Locations

1715 Castle Gardens Rd
Vestal, NY 13850
Phone (607) 484-5079

2222 Sullivan Trl
Ste 105
Easton, PA 18040
Phone (574) 261-7058

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": "1570060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781740800000",
    "number": "1609417310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "236 BURTS RD",
            "city": "KIRKWOOD",
            "state": "NY",
            "postal_code": "137951731",
            "telephone_number": "607-242-2695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 HIGH ST",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177013100",
            "telephone_number": "607-242-2695"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "236 Burts Rd",
            "address_purpose": "LOCATION",
            "city": "Kirkwood",
            "state": "NY",
            "postal_code": "137951731",
            "country_code": "US",
            "telephone_number": "607-242-2695",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15 Ridgecrest Cir",
            "address_purpose": "LOCATION",
            "city": "Lewisburg",
            "state": "PA",
            "postal_code": "178376367",
            "country_code": "US",
            "telephone_number": "607-242-2695",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OPELA",
        "first_name": "JAMIE",
        "middle_name": "LEE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-03",
        "last_updated": "2026-06-18",
        "certification_date": "2026-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "021321-01",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC014991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsport, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2026; 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.