Individual provider Active NPI

Jessica Dankanich, MS OTR/L

  • Occupational Therapist
  • Paoli, PA
National Provider Identifier
1851020085
Registry record updated Jun 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OC010931 Issued in PA
Practice address
16 Industrial Blvd Ste 101
Paoli, PA 19301-1609
Phone
(610) 484-6232
Fax
(833) 690-7898
NPI assigned
Jun 5, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2022

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 OC010931 PA Primary

Addresses

Primary practice location

16 Industrial Blvd Ste 101
Paoli, PA 19301-1609

Mailing address

532 Summercroft Dr
Exton, PA 19341-3047
Phone (717) 873-2961

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220628000285 PA Practitioner - Occupational Therapist in Private Practice 2961881578 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mobility Specialist LLCGroup PAC ID 4587901616, 7 clinicians

Practice addresses (Care Compare)

16 Industrial Blvd
Suite 101
Paoli, PA 19301-1609
Phone (610) 484-6232

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
OC010931PAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mobility Specialist LLC CurrentSince Aug 1, 2022 Accepting new patients

Locations

16 Industrial Blvd
Ste 101
Paoli, PA 19301
Phone (610) 484-6232

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": "1654387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654387200000",
    "number": "1851020085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "532 SUMMERCROFT DR",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193413047",
            "telephone_number": "717-873-2961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 INDUSTRIAL BLVD STE 101",
            "city": "PAOLI",
            "state": "PA",
            "postal_code": "193011609",
            "telephone_number": "610-484-6232",
            "fax_number": "833-690-7898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANKANICH",
        "first_name": "JESSICA",
        "name_prefix": "Mrs.",
        "credential": "MS OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-05",
        "last_updated": "2022-06-05",
        "certification_date": "2022-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC010931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paoli, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.