Active NPI
Julia Scolnick Spock
- Hand Occupational Therapist
- Wilmington, DE
National Provider Identifier
1699848762
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hand Occupational Therapist
- License
- U10000045
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11934527 | Other | CAQH |
Other names 1
- Julia Lynn Scolnick
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 |
|---|---|---|---|
| 02080 | MD | MD | Chiropractor |
| U10000045 | DE | MD | Hand Occupational Therapist |
| OC002956L | PA | MD | Hand Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dynamic Therapy Services of Pennsylvania LLC | Past | Accepting new patients | |
| Home Care Health Specialists LLC | Past | 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.
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- Physical Therapist
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-
- Physical Therapist
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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.