NPI Code Detail JSON Logo

1528796877 NPI number — JESSICA LYNN ENGLE OTD, OTR/L, LAT, ATC

NPI Number: 1528796877
Health Care Provider/Practitioner: JESSICA LYNN ENGLE OTD, OTR/L, LAT, ATC

Information about “1528796877” NPI (JESSICA LYNN ENGLE OTD, OTR/L, LAT, ATC) exists in 1528796877 in HTML format HTML  |  1528796877 in plain Text format TXT  |  1528796877 in PDF (Portable Document Format) PDF  |  1528796877 in an XML format XML  formats.

NPI Number : 1528796877 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1528796877",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "ENGLE",
    "FirstName": "JESSICA",
    "MiddleName": "LYNN",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "OTD, OTR/L, LAT, ATC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "KERR",
    "OtherFirstName": "JESSICA",
    "OtherMiddleName": "LYNN",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "OTD, OTR/L, LAT, ATC",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "2660 LAFAYETTE BLVD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "STEUBENVILLE",
    "MailingAddressStateName": "OH",
    "MailingAddressPostalCode": "43952-1145",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "210 ANTHONI AVE STE 2",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "WHEELING",
    "PracticeLocationAddressStateName": "WV",
    "PracticeLocationAddressPostalCode": "26003-6403",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "304-243-8310",
    "PracticeLocationAddressFaxNumber": "304-243-8430",
    "EnumerationDate": "08/12/2022",
    "LastUpdateDate": "02/28/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "2255A2300X",
          "TaxonomyName": "Athletic Trainer",
          "LicenseNumber": "RT007372",
          "LicenseNumberStateCode": "PA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "225X00000X",
          "TaxonomyName": "Occupational Therapist",
          "LicenseNumber": "OT012082",
          "LicenseNumberStateCode": "OH",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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