Individual provider Active NPI

Jennifer Lee Paullin, OTR/L

  • Occupational Therapist
  • Grove City, PA
National Provider Identifier
1821790643
Registry record updated Mar 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OC018915 Issued in PA
Practice address
400 Hillcrest Ave # 1708
Grove City, PA 16127-1708
Phone
(724) 458-9501
NPI assigned
Mar 17, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT012142 OH
Occupational Therapist 225X00000X OC018915 PA Primary

Addresses

Primary practice location

400 Hillcrest Ave # 1708
Grove City, PA 16127-1708

Mailing address

628 Barmore Ave
Grove City, PA 16127-1324
Phone (440) 525-3774

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

LicenseStateTypeSpecialty
OT012142OHMDOccupational Therapist
OC018915PAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Post Acute Specialists, LLC PastSince Mar 19, 2023 Accepting new patients

Organizations & group practices 1

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": "1679011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679011200000",
    "number": "1821790643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "628 BARMORE AVE",
            "city": "GROVE CITY",
            "state": "PA",
            "postal_code": "161271324",
            "telephone_number": "440-525-3774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 HILLCREST AVE # 1708",
            "city": "GROVE CITY",
            "state": "PA",
            "postal_code": "161271708",
            "telephone_number": "724-458-9501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAULLIN",
        "first_name": "JENNIFER",
        "middle_name": "LEE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-17",
        "last_updated": "2023-03-17",
        "certification_date": "2023-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OH",
            "license": "OT012142",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC018915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grove City, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2023; 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.