Jessy Lyn Ohlsen, OTRL

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

46TR00077000 Issued in NJ

Practice address

801 Kings Hwy N
Fox Rehabilitation Services
Cherry Hill, NJ 08034-1513

Phone

(877) 407-3422

Fax

(877) 407-4329

NPI assigned

Jan 22, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jessy Lyn Fialka Former name

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Spectrum Fitness, LLCGroup PAC ID 4385878362, 57 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Spectrum Fitness, LLC

  • Specialist
  • Northfield, NJ
  • NPI 1053750588
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740334390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 MONROE LN",
            "city": "EGG HARBOR TWP",
            "state": "NJ",
            "postal_code": "082346956",
            "telephone_number": "877-407-3422",
            "fax_number": "877-407-4329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 KINGS HWY N",
            "address_2": "FOX REHABILITATION SERVICES",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080341513",
            "telephone_number": "877-407-3422",
            "fax_number": "877-407-4329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OHLSEN",
        "first_name": "JESSY",
        "middle_name": "LYN",
        "credential": "OTRL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00077000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSY",
            "last_name": "FIALKA",
            "middle_name": "LYN",
            "credential": "OTRL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Melissa Shannen Ogburn, MS, BCBA, LBA
• Andrew John Ogg, OTR/L
• Kaitlyn Nicole Ogg, OT
• Jennifer Binkley Ogorzalek, RD
• Julia Ohara, CRNA
• Madison Okerson
• Virginia Carolyn Oksten
• Jonathan Olatubosun
• Melody Olaye
• Andrew S Olearchyk, M.D.

• Occupational Therapist in Cherry Hill, NJ
• Providers in Cherry Hill, NJ by specialty
• Occupational Therapist in New Jersey

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.