Jacquelyn Ann Fetchko, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OC005362L Issued in PA

Practice address

212 Iris Rd
Sewickley, PA 15143-2402

Phone

(412) 741-2375

NPI assigned

Apr 12, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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• Medical Rehabilitation Systems, LLC

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  NPD (past)

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740404847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 MARKET ST",
            "address_2": "SUITE 103",
            "city": "BEAVER",
            "state": "PA",
            "postal_code": "150092998",
            "telephone_number": "724-586-5123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 IRIS RD",
            "city": "SEWICKLEY",
            "state": "PA",
            "postal_code": "151432402",
            "telephone_number": "412-741-2375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FETCHKO",
        "first_name": "JACQUELYN",
        "middle_name": "ANN",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC005362L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Epeople Healthcare, Inc. (Ekidzcare)
• Angela Kohle Ersher, CRNP
• Eyetique Inc (Eyetique)
• Adam Farber, LCSW
• Gineen Ferrara, DNP, FNP-C
• Rebecca Fichtl, BCHN, NTM
• Kala Findley, PHARMD
• Hannah Fischer-Dibucci, DO
• Robert Fisher
• Katelyn Fitzgerald, PA-C

• Occupational Therapist in Sewickley, PA
• Providers in Sewickley, PA by specialty
• Occupational Therapist in Pennsylvania

• 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.

Verify at the official NPI Registry.