NPIMap

Organization Active NPI

Access Design

  • Environmental Modification Occupational Therapist
  • Lake Ariel, PA
National Provider Identifier
1033494745
Registry record updated Oct 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Environmental Modification Occupational TherapistTaxonomy code 225XE0001X
License
OC-005834-L Issued in PA
Legal business name
ACCESS DESIGN
Practice address
590 Gravity Rd
Lake Ariel, PA 18436-4136
Phone
(570) 647-8445
NPI assigned
Oct 13, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2011

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

Authorized official

Name
Mrs. Jennifer Barillo, OTR/LNPI 1316930829
Title
Owner
Phone
(570) 647-8445

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Environmental Modification Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225XE0001X OC-005834-L PA Primary

Addresses

Primary practice location

590 Gravity Rd
Lake Ariel, PA 18436-4136

Mailing address

590 Gravity Rd
Lake Ariel, PA 18436-4136

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1318464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319760000000",
    "number": "1033494745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "590 GRAVITY RD",
            "city": "LAKE ARIEL",
            "state": "PA",
            "postal_code": "184364136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 GRAVITY RD",
            "city": "LAKE ARIEL",
            "state": "PA",
            "postal_code": "184364136",
            "telephone_number": "570-647-8445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCESS DESIGN",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-13",
        "last_updated": "2011-10-28",
        "status": "A",
        "authorized_official_last_name": "BARILLO",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-647-8445",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225XE0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Environmental Modification",
            "state": "PA",
            "license": "OC-005834-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Ariel, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2011; 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.