Active NPI
Jennifer Gwen Fejes, COTA
- Occupational Therapy Assistant
- Easton, PA
National Provider Identifier
1720108434
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- OP006139
- Practice address
- 215 Cedar Park Blvd
Easton, PA 18042-7109 - Phone
- (610) 438-2662
- NPI assigned
- Mar 29, 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 | OP006139 | PA | Primary |
Addresses
Primary practice location
215 Cedar Park Blvd
Easton, PA 18042-7109
Mailing address
1072 Debbie Lane
Allentown, PA 18103-5534
Phone (484) 661-1958
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 |
|---|---|---|---|
| OP006139 | PA | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1347321600000",
"number": "1720108434",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1072 DEBBIE LANE",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181035534",
"telephone_number": "484-661-1958"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 CEDAR PARK BLVD",
"city": "EASTON",
"state": "PA",
"postal_code": "180427109",
"telephone_number": "610-438-2662"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FEJES",
"first_name": "JENNIFER",
"middle_name": "GWEN",
"credential": "COTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-29",
"last_updated": "2012-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "PA",
"license": "OP006139",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Easton, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.