Jennifer Demetro
Individual provider Active NPI Occupational Therapy Assistant · Lock Haven, PA
NPI 1912829409 · NPPES record last updated Jul 28, 2026
Key facts
- NPI
- 1912829409
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- Practice address
- 22 Cree Dr
Lock Haven, PA 17745-2639 - Phone
- (570) 748-9377
- NPI assigned
- Jul 28, 2026
- Sex
- Unspecified or another gender identity
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | Yes |
Addresses
Primary practice location
22 Cree Dr
Lock Haven, PA 17745-2639
Mailing address
1115 Renovo Rd
Mill Hall, PA 17751-8520
Other providers in Lock Haven, PA
- Kristy Dao
- Malcolm Dash
- Naomi Defibaugh
- Megan Deitrich
- Elissa Marie Delio
- Alyssa Jo Dickey
- Lori S Dinges
- Troy S Dinges
- Tyson Lee Dixon
- J-Lin Michaela Durost
All providers in Lock Haven, PA · Occupational Therapy Assistant in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 28, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.