Active NPI
Tessa Glennon, OT
- Occupational Therapist
- Berwyn, PA
National Provider Identifier
1831806298
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OC018670
- Practice address
- 511 Old Lancaster Rd Ste 12
Berwyn, PA 19312-1671 - Phone
- (484) 919-5601
- NPI assigned
- Nov 3, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OC018670 | PA | Primary |
Addresses
Primary practice location
511 Old Lancaster Rd Ste 12
Berwyn, PA 19312-1671
Mailing address
511 Old Lancaster Rd Ste 12
Berwyn, PA 19312-1671
Phone (484) 919-5601
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| JMB Therapy Services LLC | Occupational Therapist | Current | Accepting new patients |
Locations
511 Old Lancaster Rd
Ste 12
Berwyn, PA 19312
Phone (610) 225-2451
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": "1667433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667433600000",
"number": "1831806298",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "511 OLD LANCASTER RD STE 12",
"city": "BERWYN",
"state": "PA",
"postal_code": "193121671",
"telephone_number": "484-919-5601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "511 OLD LANCASTER RD STE 12",
"city": "BERWYN",
"state": "PA",
"postal_code": "193121671",
"telephone_number": "484-919-5601"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLENNON",
"first_name": "TESSA",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-11-03",
"last_updated": "2022-11-03",
"certification_date": "2022-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "PA",
"license": "OC018670",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Berwyn, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.