Jordan Alexis Pine, MOT, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OC015162 Issued in PA

Practice address

214 Peach Orchard Road
McConnellsburg, PA 17233

Phone

(717) 485-6108

NPI assigned

Mar 7, 2018

Last updated

Oct 12, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Fulton County Medical Center

  • Critical Access Hospital
  • McConnellsburg, PA
  • NPI 1326044694
  NPD (past)
• Fulton County Medical Center

  • Medical Specialty Clinic/Center
  • Orbisonia, PA
  • NPI 1871953737
  NPD (past)

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

{
    "created_epoch": "1520380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665532800000",
    "number": "1831691625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13826 FORT LOUDON RD",
            "city": "MERCERSBURG",
            "state": "PA",
            "postal_code": "172368505",
            "telephone_number": "814-932-2718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 PEACH ORCHARD ROAD",
            "city": "MCCONNELLSBURG",
            "state": "PA",
            "postal_code": "17233",
            "telephone_number": "717-485-6108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINE",
        "first_name": "JORDAN",
        "middle_name": "ALEXIS",
        "name_prefix": "Mrs.",
        "credential": "MOT, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-07",
        "last_updated": "2022-10-12",
        "certification_date": "2022-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC015162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul B Macdonald's Pharmacy Inc (MacDonald's Pharmacy)
• Paul B Macdonald's Pharmacy Inc (MacDonald's Pharmacy)
• Kristy Payne
• Matthew D. Pilkerton, PA
• Dustin Pine, PA-C
• Erin Jenine Pistner, LSW
• Colleen Marie Powers, M.A. CCC-SLP
• Emily Nicole Ramsey
• Danielle N Ray, CRNP
• Susanne Reed, PH.D.

• Occupational Therapist in McConnellsburg, PA
• Providers in McConnellsburg, PA by specialty
• Occupational Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2022; 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.