Individual provider Active NPI

Jamie Elizabeth Cornell-Sheriff, OT

  • Occupational Therapist
  • Harrisburg, PA
National Provider Identifier
1700020336
Registry record updated Nov 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OC009267 Issued in PA
Practice address
4310 Londonderry Rd
Bloom BLDG
Harrisburg, PA 17109-5300
Phone
(717) 657-7520
Fax
(717) 657-7505
NPI assigned
Apr 27, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OC009267 PA Primary

Addresses

Primary practice location

4310 Londonderry Rd
Bloom BLDG
Harrisburg, PA 17109-5300

Mailing address

4310 Londonderry Rd
Harrisburg, PA 17109-5300
Phone (717) 657-7520

Other names 1

  • Jamie Elizabeth Cornell- Sheriff Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150203000348 PA Practitioner - Occupational Therapist in Private Practice 9830414481 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OC009267PAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
PHS Physical Therapy, LLC CurrentSince May 8, 2023 Accepting new patients

Locations

950 Walnut Bottom Rd
Ste 19
Carlisle, PA 17015
Phone (717) 245-0610

1535 Highlands Dr
Ste 200
Lititz, PA 17543
Phone (717) 625-5731

4714 Gettysburg Rd
Mechanicsburg, PA 17055
Phone (888) 735-6332

Organizations & group practices 2

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": "1240790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415577600000",
    "number": "1700020336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4310 LONDONDERRY RD",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171095300",
            "telephone_number": "717-657-7520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4310 LONDONDERRY RD",
            "address_2": "BLOOM BLDG",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171095300",
            "telephone_number": "717-657-7520",
            "fax_number": "717-657-7505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORNELL-SHERIFF",
        "first_name": "JAMIE",
        "middle_name": "ELIZABETH",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-27",
        "last_updated": "2014-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC009267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAMIE",
            "last_name": "CORNELL- SHERIFF",
            "middle_name": "ELIZABETH",
            "credential": "OTR/L",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Harrisburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.