Individual provider Active NPI

Elaina Jurica, OTR/L

  • Occupational Therapist
  • Dublin, OH
National Provider Identifier
1740775196
Registry record updated Mar 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT010537 Issued in OH
Practice address
6355 Emerald Pkwy
Dublin, OH 43016-3255
Phone
(800) 304-7152
NPI assigned
Jun 28, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2022

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 OT010537 OH Primary

Addresses

Primary practice location

6355 Emerald Pkwy
Dublin, OH 43016-3255

Mailing address

869 Longbow CT Apt C
Westerville, OH 43082-8441

Other practice location 1

2515 N Main St
Findlay, OH 45840-3972
Phone (419) 422-3711

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241205003706 OH Practitioner - Occupational Therapist in Private Practice 8921534538 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Legacy Healthcare Services IncGroup PAC ID 2163339722, 3,431 clinicians

Practice addresses (Care Compare)

1545 Fangboner Rd
Fremont, OH 43420-1128
Phone (567) 314-6003

363 Braun PL
Westerville, OH 43081-7796
Phone (614) 212-2814

4303 Trueman Blvd
Hilliard, OH 43026-2631
Phone (614) 319-3305

54 S Washington St
Tiffin, OH 44883-2377
Phone (423) 270-6311

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Healthcare Services Inc Occupational Therapist CurrentSince Nov 11, 2024 Accepting new patients
Legacy Healthcare Services Inc Occupational Therapist CurrentSince Nov 11, 2024 Accepting new patients

Locations

110 Horizon Dr
#310
Raleigh, NC 27615

6355 Emerald Pkwy
Dublin, OH 43016
Phone (614) 210-3397

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": "1530144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647734400000",
    "number": "1740775196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "869 LONGBOW CT APT C",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430828441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6355 EMERALD PKWY",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430163255",
            "telephone_number": "800-304-7152"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2515 N Main St",
            "address_purpose": "LOCATION",
            "city": "Findlay",
            "state": "OH",
            "postal_code": "458403972",
            "country_code": "US",
            "telephone_number": "419-422-3711",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JURICA",
        "first_name": "ELAINA",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-28",
        "last_updated": "2022-03-20",
        "certification_date": "2022-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OH",
            "license": "OT010537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2022; 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.