Joshua Balliet, OTR/L
Individual provider Active NPI Occupational Therapist · Hazle Township, PA
NPI 1013472653 · NPPES record last updated Feb 7, 2019
Key facts
- NPI
- 1013472653
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- OC008323 (PA)
- Practice address
- 401 Hazle Township Blvd
Hazle Township, PA 18202-9661 - Phone
- (570) 454-8888
- NPI assigned
- Feb 7, 2019
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OC008323 | PA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Inpatient Medicine Transitional Care PC | Past | Accepting new patients | |
| Berwick Clinic Company LLC | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/1704/brand/1/csg/81/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OC008323 | PA | Yes |
Addresses
Primary practice location
401 Hazle Township Blvd
Hazle Township, PA 18202-9661
Mailing address
3332 Alberdeen Rd
Mountain Top, PA 18707-9581
Phone (570) 709-4793
Other providers in Hazle Township, PA
- Dana Marie Addesa
- Justin Joseph Agustini
- Ann Andrasovich
- Ara-Hazleton LLC
- Astute Diagnostics LLC
- Alexis Barker
- Laura E Barna
- Emilee Barrett
- Jenna Bartel
- Carol M Bialobrzeski
All providers in Hazle Township, PA · Occupational Therapist in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 7, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.