Noah Pennypacker, OTD, OTR/L, ATC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT012046 Issued in OH

Practice address

50 Scupper LN
Northfield, OH 44067-3022

Phone

(330) 840-0500

NPI assigned

Jan 25, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fox Rehabilitation Services Oh, LLCGroup PAC ID 1254698350, 142 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Fox Rehabilitation Services Oh, LLC

  • Physical Therapist
  • Beachwood, OH
  • NPI 1265968481

  Occupational Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1548374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656547200000",
    "number": "1013471895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 SCUPPER LN",
            "city": "NORTHFIELD",
            "state": "OH",
            "postal_code": "440673022",
            "telephone_number": "330-840-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 SCUPPER LN",
            "city": "NORTHFIELD",
            "state": "OH",
            "postal_code": "440673022",
            "telephone_number": "330-840-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENNYPACKER",
        "first_name": "NOAH",
        "name_prefix": "Dr.",
        "credential": "OTD, OTR/L, ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-01-25",
        "last_updated": "2022-06-30",
        "certification_date": "2022-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OH",
            "license": "OT012046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Partner in Mobility LLC
• Pallaveebahen H Patel
• Vandana Patel
• James R. Pearl, O.D.
• Madison Elizabeth Pearl
• Keyonah Peterson
• Rachel Petrus
• Philip J. Znidarsic DDS, LLC
• Matthew Pisanelli, D.C
• Allison Pluskota, OTR/L

• Occupational Therapist in Northfield, OH
• Providers in Northfield, OH by specialty
• Occupational Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.