Individual provider Active NPI

Jan S. Zeldes, OCCUPATIONAL THERAPI

  • Occupational Therapist
  • Philadelphia, PA
National Provider Identifier
1669672374
Registry record updated Oct 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OC-001734-L Issued in PA
Practice address
3110 Grant Avenue
Philadelphia, PA 19114-2542
Phone
(215) 464-6600
Fax
(215) 464-2379
NPI assigned
Jul 20, 2007
Last updated
Oct 12, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2011

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 OC-001734-L PA Primary
Occupational Therapist 225X00000X NU

Addresses

Primary practice location

3110 Grant Avenue
Philadelphia, PA 19114-2542

Mailing address

3110 Grant Avenue
Philadelphia, PA 19114-2542
Phone (215) 464-6600

Other identifiers 1

IdentifierTypeStateIssuer
OC-001734-LOtherPALICENSE

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
OC-001734-LPAMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1184889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318377600000",
    "number": "1669672374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3110 GRANT AVENUE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191142542",
            "telephone_number": "215-464-6600",
            "fax_number": "215-464-2379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3110 GRANT AVENUE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191142542",
            "telephone_number": "215-464-6600",
            "fax_number": "215-464-2379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZELDES",
        "first_name": "JAN",
        "middle_name": "S.",
        "name_prefix": "Ms.",
        "credential": "OCCUPATIONAL THERAPI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-20",
        "last_updated": "2011-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC-001734-L",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "OC-001734-L",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2011; 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.