Provider Demographics
NPI:1205086774
Name:OAKES, JAMIE LEE (OTR-L)
Entity type:Individual
Prefix:
First Name:JAMIE
Middle Name:LEE
Last Name:OAKES
Suffix:
Gender:F
Credentials:OTR-L
Other - Prefix:
Other - First Name:JAMIE
Other - Middle Name:LEE
Other - Last Name:BECKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1307 FEDERAL ST
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15212-4769
Mailing Address - Country:US
Mailing Address - Phone:412-359-8504
Mailing Address - Fax:412-359-4533
Practice Address - Street 1:1307 FEDERAL ST
Practice Address - Street 2:2ND FLOOR
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15212-4769
Practice Address - Country:US
Practice Address - Phone:412-359-8504
Practice Address - Fax:412-359-4533
Is Sole Proprietor?:No
Enumeration Date:2008-09-22
Last Update Date:2020-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC010871225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1029761800001Medicaid
PA1029761800001Medicaid