Individual provider Active NPI

Jacqueline Sue Stenger

  • Occupational Therapist
  • Jamison, PA
National Provider Identifier
1831400985
Registry record updated Jun 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OC001292L Issued in PA
Practice address
1780 Kendarbren Dr
Jamison, PA 18929-1064
Phone
(215) 489-8766
Fax
(215) 489-7860
NPI assigned
Jun 23, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2010

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 OC001292L PA Primary

Addresses

Primary practice location

1780 Kendarbren Dr
Jamison, PA 18929-1064

Mailing address

1780 Kendarbren Dr
Jamison, PA 18929-1064
Phone (215) 489-8760

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
OC001292LPAMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1277251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277251200000",
    "number": "1831400985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1780 KENDARBREN DR",
            "city": "JAMISON",
            "state": "PA",
            "postal_code": "189291064",
            "telephone_number": "215-489-8760",
            "fax_number": "215-489-8766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1780 KENDARBREN DR",
            "city": "JAMISON",
            "state": "PA",
            "postal_code": "189291064",
            "telephone_number": "215-489-8766",
            "fax_number": "215-489-7860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STENGER",
        "first_name": "JACQUELINE",
        "middle_name": "SUE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-23",
        "last_updated": "2010-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC001292L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamison, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2010; 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.