Active NPI
Jacquelyn Brem, OTR/L
- Occupational Therapist
- Saint Marys, PA
National Provider Identifier
1740459866
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OC010144
- Practice address
- 763 Johnsonburg Rd
Saint Marys, PA 15857-3417 - Phone
- (814) 788-8490
- NPI assigned
- Feb 22, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 Therapist | 225X00000X | OC010144 | PA | Primary |
Addresses
Primary practice location
763 Johnsonburg Rd
Saint Marys, PA 15857-3417
Mailing address
763 Johnsonburg Rd
Saint Marys, PA 15857-3417
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441065600000",
"number": "1740459866",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "763 JOHNSONBURG RD",
"city": "SAINT MARYS",
"state": "PA",
"postal_code": "158573417"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "763 JOHNSONBURG RD",
"city": "SAINT MARYS",
"state": "PA",
"postal_code": "158573417",
"telephone_number": "814-788-8490"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BREM",
"first_name": "JACQUELYN",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-02-22",
"last_updated": "2015-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "PA",
"license": "OC010144",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Marys, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.