Individual provider Active NPI

Jillian Deena Pelland, OTR/L

  • Occupational Therapist
  • Wadsworth, OH
National Provider Identifier
1831531276
Registry record updated Jun 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT.005641 Issued in OH
Practice address
1021 Ridgewood Rd
Wadsworth, OH 44281-9711
Phone
(330) 697-4382
NPI assigned
Jul 26, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2018

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 OT.005641 OH Primary

Addresses

Primary practice location

1021 Ridgewood Rd
Wadsworth, OH 44281-9711

Mailing address

1021 Ridgewood Rd
Wadsworth, OH 44281-9711
Phone (234) 206-0815

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Stables at Rose of Sharon PastSince Dec 15, 2019 Accepting new patients
Catalyst Farm, LLC PastSince Dec 15, 2019 Accepting new patients

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": "1374796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529366400000",
    "number": "1831531276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 RIDGEWOOD RD",
            "city": "WADSWORTH",
            "state": "OH",
            "postal_code": "442819711",
            "telephone_number": "234-206-0815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 RIDGEWOOD RD",
            "city": "WADSWORTH",
            "state": "OH",
            "postal_code": "442819711",
            "telephone_number": "330-697-4382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELLAND",
        "first_name": "JILLIAN",
        "middle_name": "DEENA",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-26",
        "last_updated": "2018-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OH",
            "license": "OT.005641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wadsworth, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2018; 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.