Individual provider Active NPI

Charlene Marie Brantner, OT

  • Occupational Therapist
  • Huntingdon, PA
National Provider Identifier
1023159787
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OC007390L Issued in PA
Practice address
929 14TH St
Huntingdon, PA 16652-3028
Phone
(814) 643-0337
Fax
(814) 643-9231
NPI assigned
Feb 8, 2007
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 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 OC007390L PA Primary

Addresses

Primary practice location

929 14TH St
Huntingdon, PA 16652-3028

Mailing address

726 W 3Rd St
Williamsburg, PA 16693-1126
Phone (814) 832-4631

Other identifiers 1

IdentifierTypeStateIssuer
01898659MedicaidPA

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
OC007390LPAMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1023159787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "726 W 3RD ST",
            "city": "WILLIAMSBURG",
            "state": "PA",
            "postal_code": "166931126",
            "telephone_number": "814-832-4631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 14TH ST",
            "city": "HUNTINGDON",
            "state": "PA",
            "postal_code": "166523028",
            "telephone_number": "814-643-0337",
            "fax_number": "814-643-9231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANTNER",
        "first_name": "CHARLENE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-08",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC007390L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01898659",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntingdon, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.