JAMELLA FAGAN
NPI 1972391472
Occupational Therapist in Philadelphia, PA

Active since April 25, 2025
4619 CHESTER AVE APT B210, PHILADELPHIA, PA 19143(267) 481-6632 Get Directions Write a Review

NPPES record last updated: April 25, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Jamella Fagan NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAMELLA FAGAN (NPI 1972391472) is an individual occupational therapist in Philadelphia, Pennsylvania, licensed in Pennsylvania (OC020735) and active in the NPI registry since April 2025. She is a graduate of Other (2024).

NPPES Registry Identity

NPI1972391472
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameJAMELLA FAGAN
Location Address4619 CHESTER AVE APT B210Philadelphia, PA 19143-3683
Mailing Address4619 Chester Ave Apt B210Philadelphia, PA 19143-3683 · (267) 481-6632
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateApril 25, 2025
NPPES CertifiedApril 25, 2025
✔ NPI 1972391472 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225X00000X
License✔ Licensed in PA · OC020735
Definition
An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.
4619 CHESTER AVE APT B210, Philadelphia, PA 19143

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jamella Fagan is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1557832508
PECOS Enrollment IDI20260610001171, I20260629002103

Medicare Billing Reassignments

2

Medicare enrollment records show Jamella Fagan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Occupational Therapist
3544 W CHESTER PIKE STE 217
Newtown Square, PA 19073
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 8 clinicians in this Medicare group
Occupational Therapist
2810 N CHURCH ST
Wilmington, DE 19802
  • Reassigned Medicare billing, Delaware enrollment
  • 3 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jamella Fagan's NPI number?

The NPI number for Jamella Fagan is 1972391472. It was assigned to this individual provider in the NPPES registry on April 25, 2025.

Where is Jamella Fagan located?

Jamella Fagan practices at 4619 Chester Ave Apt B210, Philadelphia, PA 19143. The listed phone number is (267) 481-6632.

What is Jamella Fagan's specialty?

The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.

Is Jamella Fagan enrolled in Medicare?

Yes. Jamella Fagan is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jamella Fagan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jamella Fagan reassigns Medicare benefits to 2 organizations: Brighter Therapy LLC (Newtown Square, PA) and Jh Therapy Services (Wilmington, DE). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jamella Fagan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jamella Fagan was last updated on April 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.