Jaclyn Kathleen Tschantz, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OC012953 Issued in PA

Practice address

4 E Center Hill Rd
Dallas, PA 18612-1072

Phone

(570) 675-8600

Fax

(570) 675-8919

NPI assigned

Mar 12, 2014

Sex

Female

Sole proprietor

Yes

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

Enrolled in PA

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cip Rehabilitation IncGroup PAC ID 4789932104, 46 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Cip Rehabilitation Inc

  • Occupational Therapist
  • Dallas, PA
  • NPI 1669963039
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1394582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394582400000",
    "number": "1659797736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 E CENTER HILL RD",
            "city": "DALLAS",
            "state": "PA",
            "postal_code": "186121072",
            "telephone_number": "570-675-6800",
            "fax_number": "570-675-8919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 E CENTER HILL RD",
            "city": "DALLAS",
            "state": "PA",
            "postal_code": "186121072",
            "telephone_number": "570-675-8600",
            "fax_number": "570-675-8919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TSCHANTZ",
        "first_name": "JACLYN",
        "middle_name": "KATHLEEN",
        "name_prefix": "Ms.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-12",
        "last_updated": "2014-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC012953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Northeast Resilience Center
• Thomas J Donahue
• Millicent Owusu Tiwaah, DO
• Susan C Trombetta, PHARM.D.
• Stephanie Leigh Trottnow, D.M.D.
• Elizabeth Tyler, LSW
• Bryce Vandeutsch, PA-C
• Cailyn R Vanhouten, OTR/L
• Vision Innovation Centers of Pennsylvania LLC
• Vision Innovation Centers of Pennsylvania, LLC

• Occupational Therapist in Dallas, PA
• Providers in Dallas, PA by specialty
• Occupational Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2014; 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.