Individual provider Active NPI

Katherine Lea Groover, OC

  • Occupational Therapist
  • East Stroudsburg, PA
National Provider Identifier
1023012499
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OC007027L Issued in PA
Practice address
109 Seven Bridge Rd
East Stroudsburg, PA 18301-9100
Phone
(517) 421-1254
Fax
(570) 424-2346
NPI assigned
Jun 13, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OC007027L PA Primary

Addresses

Primary practice location

109 Seven Bridge Rd
East Stroudsburg, PA 18301-9100

Mailing address

479 Chestnut St
Slatington, PA 18080-9401
Phone (610) 767-3821

Other names 1

  • Katherine Lea Ehlenbeck Former name

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
OC007027LPAMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1118620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023012499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "479 CHESTNUT ST",
            "city": "SLATINGTON",
            "state": "PA",
            "postal_code": "180809401",
            "telephone_number": "610-767-3821",
            "fax_number": "570-424-2346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 SEVEN BRIDGE RD",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183019100",
            "telephone_number": "517-421-1254",
            "fax_number": "570-424-2346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROOVER",
        "first_name": "KATHERINE",
        "middle_name": "LEA",
        "credential": "OC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC007027L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "EHLENBECK",
            "middle_name": "LEA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in East Stroudsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.