Active NPI
Jessica Dankanich, MS OTR/L
- Occupational Therapist
- Paoli, PA
National Provider Identifier
1851020085
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OC010931
- 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
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 | 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
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| OC010931 | PA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mobility Specialist LLC | Current | 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.
-
- Physical Therapy Clinic/Center
- Paoli, PA
- NPI 1316415433
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.