Active NPI
Jennifer Radziak, OTD, OTR/L, CHT
- Occupational Therapist
- West Chester, PA
National Provider Identifier
1699107086
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OCTH-007844
- Practice address
- 11 N 5 Points Rd
West Chester, PA 19380-4778 - Phone
- (484) 266-0387
- NPI assigned
- Aug 7, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OC102655 | PA | |
| Occupational Therapist | 225X00000X | OCTH-007844 | AZ | Primary |
Addresses
Primary practice location
11 N 5 Points Rd
West Chester, PA 19380-4778
Mailing address
5850 E Still Cir
Mesa, AZ 85206-3618
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
| License | State | Type | Specialty |
|---|---|---|---|
| OCTH-007844 | AZ | MD | Occupational Therapist |
| OC102655 | PA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rehab1 LLC | Occupational Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624924800000",
"number": "1699107086",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5850 E STILL CIR",
"city": "MESA",
"state": "AZ",
"postal_code": "852063618"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 N 5 POINTS RD",
"city": "WEST CHESTER",
"state": "PA",
"postal_code": "193804778",
"telephone_number": "484-266-0387"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RADZIAK",
"first_name": "JENNIFER",
"credential": "OTD, OTR/L, CHT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-07",
"last_updated": "2021-06-29",
"certification_date": "2021-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "PA",
"license": "OC102655",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AZ",
"license": "OCTH-007844",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Chester, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.