Individual provider Active NPI

Julia Scolnick Spock

  • Hand Occupational Therapist
  • Wilmington, DE
National Provider Identifier
1699848762
Registry record updated Jul 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
U10000045 Issued in DE
Practice address
2801 Lancaster Ave Ste H
Wilmington, DE 19805-5232
Phone
(302) 778-0810
Fax
(302) 778-0812
NPI assigned
Nov 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Occupational Therapist 225XH1200X U10000045 DE Primary
Hand Occupational Therapist 225XH1200X OC002956L PA
Hand Occupational Therapist 225XH1200X 02080 MD
Pediatric Occupational Therapist 225XP0200X U10000045 DE

Addresses

Primary practice location

2801 Lancaster Ave Ste H
Wilmington, DE 19805-5232

Mailing address

2 W 10TH St
Marcus Hook, PA 19061-4513
Phone (610) 859-8850

Other identifiers 1

IdentifierTypeStateIssuer
11934527OtherCAQH

Other names 1

  • Julia Lynn Scolnick Former name

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
02080MDMDChiropractor
U10000045DEMDHand Occupational Therapist
OC002956LPAMDHand Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dynamic Therapy Services of Pennsylvania LLC Past Accepting new patients
Home Care Health Specialists LLC PastSince Aug 1, 2016 Accepting new patients
Dynamic Therapy Services, LLC Past Accepting new patients
Dynamic Therapy Services LLC Past Accepting new patients

Organizations & group practices 4

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": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311120000000",
    "number": "1699848762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 W 10TH ST",
            "city": "MARCUS HOOK",
            "state": "PA",
            "postal_code": "190614513",
            "telephone_number": "610-859-8850",
            "fax_number": "610-672-9936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 LANCASTER AVE STE H",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198055232",
            "telephone_number": "302-778-0810",
            "fax_number": "302-778-0812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPOCK",
        "first_name": "JULIA",
        "middle_name": "SCOLNICK",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-16",
        "last_updated": "2011-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "DE",
            "license": "U10000045",
            "primary": true
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "PA",
            "license": "OC002956L",
            "primary": false
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "MD",
            "license": "02080",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "DE",
            "license": "U10000045",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11934527",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIA",
            "last_name": "SCOLNICK",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.