Audra Jordan Mead, OTR/L

Primary specialty

Physical Rehabilitation Occupational TherapistTaxonomy code 225XP0019X

License

OC014666 Issued in PA

Practice address

1217 S Clarion St
Philadelphia, PA 19147-4413

Phone

(215) 804-8003

NPI assigned

Oct 31, 2018

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1540944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540944000000",
    "number": "1669949244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1217 S CLARION ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191474413",
            "telephone_number": "215-804-8003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1217 S CLARION ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191474413",
            "telephone_number": "215-804-8003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEAD",
        "first_name": "AUDRA",
        "middle_name": "JORDAN",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-31",
        "last_updated": "2018-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "PA",
            "license": "OC014666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• MD Therapy LLC
• Mdburkeprpa LLC
• MDK Group Incorporated
• MDP Home Care LLC
• Me for You Homecare LLC
• Philip Mead, MD
• Jermaine Meades II
• Kerra Meadows-Richardson, PMHNP-BC
• Adriane Meadows, MD
• Anna T Meadows, M.D.

• Physical Rehabilitation Occupational Therapist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Physical Rehabilitation Occupational Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2018; 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.