Individual provider Active NPI

Ashley Lynn Perigo, COTA/L

  • Occupational Therapy Assistant
  • Mount Wolf, PA
National Provider Identifier
1013291236
Registry record updated Oct 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
OP007131 Issued in PA
Practice address
4880 N Sherman Street Ext
Mount Wolf, PA 17347-9637
Phone
(717) 266-9294
Fax
(717) 384-8071
NPI assigned
Oct 6, 2011
Last updated
Oct 6, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X OP007131 PA Primary

Addresses

Primary practice location

4880 N Sherman Street Ext
Mount Wolf, PA 17347-9637

Mailing address

4880 N Sherman Street Ext
Mount Wolf, PA 17347-9637
Phone (717) 266-9294

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
OP007131PAMDOccupational Therapy Assistant

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1317859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317859200000",
    "number": "1013291236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4880 N SHERMAN STREET EXT",
            "city": "MOUNT WOLF",
            "state": "PA",
            "postal_code": "173479637",
            "telephone_number": "717-266-9294",
            "fax_number": "717-384-8071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4880 N SHERMAN STREET EXT",
            "city": "MOUNT WOLF",
            "state": "PA",
            "postal_code": "173479637",
            "telephone_number": "717-266-9294",
            "fax_number": "717-384-8071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERIGO",
        "first_name": "ASHLEY",
        "middle_name": "LYNN",
        "name_prefix": "Miss",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-06",
        "last_updated": "2011-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "PA",
            "license": "OP007131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Wolf, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.