Active NPI
Jennifer Luckenbaugh
- Occupational Therapy Assistant
- Lansdale, PA
National Provider Identifier
1699893636
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- OP006090
- Practice address
- 660 N Broad St
Elm Terrace Gardens
Lansdale, PA 19446-2361 - Phone
- (215) 362-6087
- Fax
- (215) 412-3495
- NPI assigned
- Mar 27, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | OP006090 | PA | Primary |
Addresses
Primary practice location
660 N Broad St
Elm Terrace Gardens
Lansdale, PA 19446-2361
Mailing address
412 E Broad St
Quakertown, PA 18951-1766
Phone (267) 373-9162
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OP006090 | PA | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1699893636",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "412 E BROAD ST",
"city": "QUAKERTOWN",
"state": "PA",
"postal_code": "189511766",
"telephone_number": "267-373-9162"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "660 N BROAD ST",
"address_2": "ELM TERRACE GARDENS",
"city": "LANSDALE",
"state": "PA",
"postal_code": "194462361",
"telephone_number": "215-362-6087",
"fax_number": "215-412-3495"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUCKENBAUGH",
"first_name": "JENNIFER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "PA",
"license": "OP006090",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lansdale, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.