Active NPI
Chris Farnsworth
- Occupational Therapy Assistant
- Drexel Hill, PA
National Provider Identifier
1013487628
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- OP002984L
- Practice address
- 1113 Alexander Ave
Drexel Hill, PA 19026-4201 - Phone
- (484) 995-1457
- NPI assigned
- Nov 27, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | OP002984L | PA | Primary |
Addresses
Primary practice location
1113 Alexander Ave
Drexel Hill, PA 19026-4201
Mailing address
1113 Alexander Ave
Drexel Hill, PA 19026-4201
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| QCH121028785001 | Other | PA | KEYSTONE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| OP002984L | PA | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543276800000",
"number": "1013487628",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1113 ALEXANDER AVE",
"city": "DREXEL HILL",
"state": "PA",
"postal_code": "190264201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1113 ALEXANDER AVE",
"city": "DREXEL HILL",
"state": "PA",
"postal_code": "190264201",
"telephone_number": "484-995-1457"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARNSWORTH",
"first_name": "CHRIS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-11-27",
"last_updated": "2018-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "PA",
"license": "OP002984L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE",
"identifier": "QCH121028785001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Drexel Hill, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.