Individual provider Active NPI

Jennifer Kubinski, OTR/L

  • Occupational Therapist
  • Philadelphia, PA
National Provider Identifier
1851521595
Registry record updated Jul 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OC007397L Issued in PA
Practice address
184 Bethlehem Pike
Philadelphia, PA 19118-2815
Phone
(215) 753-2218
Fax
(215) 242-9137
NPI assigned
Jul 15, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2009

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 OC007397L PA Primary

Addresses

Primary practice location

184 Bethlehem Pike
Philadelphia, PA 19118-2815

Mailing address

184 Bethlehem Pike
Philadelphia, PA 19118-2815
Phone (215) 753-2218

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
OC007397LPAMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1247616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247616000000",
    "number": "1851521595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "184 BETHLEHEM PIKE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191182815",
            "telephone_number": "215-753-2218",
            "fax_number": "215-242-9137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "184 BETHLEHEM PIKE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191182815",
            "telephone_number": "215-753-2218",
            "fax_number": "215-242-9137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUBINSKI",
        "first_name": "JENNIFER",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-15",
        "last_updated": "2009-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC007397L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2009; 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.