Jessica Therese Derita, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OC017375 Issued in PA

Practice address

110 W Wissahickon Ave
Flourtown, PA 19031-1802

Phone

(610) 331-0600

NPI assigned

Nov 18, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1605657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606953600000",
    "number": "1922601400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "336 CRUM CREEK LN",
            "city": "NEWTOWN SQUARE",
            "state": "PA",
            "postal_code": "190731618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 W WISSAHICKON AVE",
            "city": "FLOURTOWN",
            "state": "PA",
            "postal_code": "190311802",
            "telephone_number": "610-331-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DERITA",
        "first_name": "JESSICA",
        "middle_name": "THERESE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-18",
        "last_updated": "2020-12-03",
        "certification_date": "2020-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC017375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peggy Defelice, MD
• Michael Anthony Degeorge, DDS
• Ellyn Deguida, LCSW
• James Michael Delaplane, M.D.
• Kathleen Dempsey, PHARMD
• Rabiya Dharsi, RDN
• Thomas F Diaz, M.D.
• Dibe Arcadia Healthcare Services LLC
• Jessica Digennaro, PT, DPT
• Danielle Durante, MA

• Occupational Therapist in Flourtown, PA
• Providers in Flourtown, PA by specialty
• Occupational Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2020; 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.