Active NPI
Jessy W Gardner, M.S, OTR/L, CHT
- Hand Occupational Therapist
- Center Valley, PA
National Provider Identifier
1639625312
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hand Occupational Therapist
- License
- OC011044
- Practice address
- 3547 Hawthorne Dr
Center Valley, PA 18034-9713 - Phone
- (215) 779-7809
- NPI assigned
- Aug 31, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hand Occupational Therapist | 225XH1200X | OC011044 | PA | Primary |
Addresses
Primary practice location
3547 Hawthorne Dr
Center Valley, PA 18034-9713
Mailing address
3547 Hawthorne Dr
Center Valley, PA 18034-9713
Phone (215) 779-7809
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OC011044 | PA | MD | Hand Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472601600000",
"number": "1639625312",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3547 HAWTHORNE DR",
"city": "CENTER VALLEY",
"state": "PA",
"postal_code": "180349713",
"telephone_number": "215-779-7809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3547 HAWTHORNE DR",
"city": "CENTER VALLEY",
"state": "PA",
"postal_code": "180349713",
"telephone_number": "215-779-7809"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARDNER",
"first_name": "JESSY",
"middle_name": "W",
"credential": "M.S, OTR/L, CHT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-08-31",
"last_updated": "2016-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "225XH1200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Hand",
"state": "PA",
"license": "OC011044",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Center Valley, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.