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Junior Formukong Mbipeh , COTA, L

Occupational Therapy Assistant β€’ Newtown Square, PA

Active NPI 1144975178 Individual Practitioner Male Practitioner
Practice location in NPPES

3500 W Chester Pike
Newtown Square, PA 190734101

Call 6103594400 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

3500 W Chester Pike

Newtown Square, PA 190734101

Telephone 6103594400
Organization at the Same NPPES Address or Phone
Dunwoody Village Facility NPI 1548268840

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2022

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians, CMS release of October 2, 2026; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians, CMS release of October 2, 2026.

Guide: How Medicare covers telehealth

Compared with the same specialty in Newtown Square and Pennsylvania

5 active clinicians are listed under Occupational Therapy Assistant with a practice address in Newtown Square, PA (2,168 in Pennsylvania).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-04-30
Occupational Therapy Assistant Primary Specialty

NUCC Taxonomy Code: 224Z00000X

License # reported to NPPES FL 18734

An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examination for occupational therapy assistants, and fulfills state requirements for licensure, certification, or registration. An occupational therapy assistant provides interventions under the supervision of an occupational therapist 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 therapy assistants 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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Pennsylvania Department of State Licensing.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
Megan Dodson , PT

Physical Therapist

NPI 1588274492

Physical Therapist

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
πŸ“
Updated Practice Location April 30, 2024

Registered at 3500 W CHESTER PIKE, NEWTOWN SQUARE, PA 190734101 (Tel: 6103594400)

βœ…
NPI Profile Active February 17, 2022

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) February 17, 2022

Registered at 9711 W OAKLAND PARK BLVD, SUNRISE, FL 333517013 (Tel: 9545724000)

πŸ“
Business Mailing Address (Initial Record) February 17, 2022

Registered at 110 NORTHWEST 135TH WAY, BLDG. 46 APT 301, PLANTATION, FL 33325 (Tel: 2149860857)

πŸ‘€
Provider Name / Credentials (Initial Record) February 17, 2022

Recorded as JUNIOR MBIPEH, COTA/L

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 17, 2022

Occupational Therapy Assistant (license number reported to NPPES: FL 18734)

🟒
Initial NPI Registration & Enumeration February 17, 2022

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1144975178
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 17, 2022
Last Update: April 30, 2024
Sole Proprietor: No

Mailing Address

110 Northwest 135th Way, Bldg. 46 Apt 301

Plantation, FL 33325

Phone: 2149860857

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.