Active NPI
Peter Nguyen, MS ORT/L
- Occupational Therapist
- Kingston, PA
National Provider Identifier
1023260809
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OC7200L
- Practice address
- 200 2ND Ave
Kingston, PA 18704-5722 - Phone
- (570) 288-9315
- NPI assigned
- Oct 13, 2008
- 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 Therapist | 225X00000X | OC7200L | PA | Primary |
Addresses
Primary practice location
200 2ND Ave
Kingston, PA 18704-5722
Mailing address
1023 Ledgeview Dr
West Pittston, PA 18643-1751
Phone (570) 883-0806
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OC7200L | PA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1223856000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1223856000000",
"number": "1023260809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1023 LEDGEVIEW DR",
"city": "WEST PITTSTON",
"state": "PA",
"postal_code": "186431751",
"telephone_number": "570-883-0806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 2ND AVE",
"city": "KINGSTON",
"state": "PA",
"postal_code": "187045722",
"telephone_number": "570-288-9315"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "PETER",
"credential": "MS ORT/L",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-10-13",
"last_updated": "2008-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "PA",
"license": "OC7200L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kingston, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.