Individual provider Active NPI

Joanne E. Bloom

  • Occupational Therapy Assistant
  • Sunbury, PA
National Provider Identifier
1033360243
Registry record updated Oct 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
OP002582L Issued in PA
Practice address
800 Court St
Sunbury, PA 17801-2818
Phone
(570) 286-7121
Fax
(570) 286-2418
NPI assigned
Oct 7, 2008
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231206003532 PA Practitioner - Occupational Therapist in Private Practice 9931558640 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OP002582LPAMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Tara Helwig Enterprises LLC CurrentSince Oct 17, 2023 Accepting new patients

Locations

418 Railroad St
#102
Danville, PA 17821
Phone (570) 360-8646

NPPES NPI Registry

Updated by the provider on Oct 7, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X OP002582L PA Primary

Addresses

Primary practice location

800 Court St
Sunbury, PA 17801-2818

Mailing address

213 Randall Dr
Sunbury, PA 17801-6071
Phone (570) 847-3449

NPI Registry JSON

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

{
    "created_epoch": "1223337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223337600000",
    "number": "1033360243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 RANDALL DR",
            "city": "SUNBURY",
            "state": "PA",
            "postal_code": "178016071",
            "telephone_number": "570-847-3449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 COURT ST",
            "city": "SUNBURY",
            "state": "PA",
            "postal_code": "178012818",
            "telephone_number": "570-286-7121",
            "fax_number": "570-286-2418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOOM",
        "first_name": "JOANNE",
        "middle_name": "E.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-07",
        "last_updated": "2008-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "PA",
            "license": "OP002582L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunbury, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.