Jason Amado

Individual provider Active NPI Occupational Therapist · Wexford, PA

NPI 1972173151 · NPPES record last updated Jun 29, 2021

Key facts

NPI
1972173151
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
OC017700 (PA)
Practice address
10475 Perry Hwy Ste 106G
Wexford, PA 15090-9213
Phone
(877) 407-3422
NPI assigned
Jun 29, 2021
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
OC017700PAMDOccupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OC017700 PA Yes

Addresses

Primary practice location

10475 Perry Hwy Ste 106G
Wexford, PA 15090-9213

Mailing address

7 Carnegie PLZ
Cherry Hill, NJ 08003-1000
Phone (877) 407-3422

Other providers in Wexford, PA

All providers in Wexford, PA · Occupational Therapist in Pennsylvania

Sources for this page

Verify at the official NPI Registry.