Provider Demographics
NPI:1093754301
Name:SHEFFLER, JESSICA L (OTR)
Entity Type:Individual
Prefix:MRS
First Name:JESSICA
Middle Name:L
Last Name:SHEFFLER
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:MISS
Other - First Name:JESSICA
Other - Middle Name:L
Other - Last Name:WILSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR
Mailing Address - Street 1:233 CALVARY HILL RD
Mailing Address - Street 2:
Mailing Address - City:LATROBE
Mailing Address - State:PA
Mailing Address - Zip Code:15650-9419
Mailing Address - Country:US
Mailing Address - Phone:724-787-3363
Mailing Address - Fax:
Practice Address - Street 1:6729 FIELDCREST DR
Practice Address - Street 2:
Practice Address - City:DELMONT
Practice Address - State:PA
Practice Address - Zip Code:15626-7209
Practice Address - Country:US
Practice Address - Phone:724-216-5157
Practice Address - Fax:724-325-1215
Is Sole Proprietor?:No
Enumeration Date:2006-06-05
Last Update Date:2008-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC08113225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA01863608Medicaid