Jason T Craigle, OTR/L

Key facts

NPI

1982950416

Entity type

Individual (NPI type 1)

Primary specialty

Occupational Therapist 225X00000X

License

OC012423 (PA)

Practice address

28 Black Walnut Rd
Levittown, PA 19057-3016

Phone

(215) 945-2691

NPI assigned

Aug 2, 2012

Sex

Male

Sole proprietor

Yes

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.

• Segal Paratransit LLC Non-emergency Medical Transport (VAN) · Holland, PA · NPI 1568915569
  NPD (past)

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

Yes

Practice roles

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 2, 2012.

{
    "created_epoch": "1343865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343865600000",
    "number": "1982950416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 BLACK WALNUT RD",
            "city": "LEVITTOWN",
            "state": "PA",
            "postal_code": "190573016",
            "telephone_number": "215-945-2691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 BLACK WALNUT RD",
            "city": "LEVITTOWN",
            "state": "PA",
            "postal_code": "190573016",
            "telephone_number": "215-945-2691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAIGLE",
        "first_name": "JASON",
        "middle_name": "T",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-08-02",
        "last_updated": "2012-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC012423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Levittown, PA · Occupational Therapist in Pennsylvania