Buffalo Valley Lutheran Village

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

OP006155 Issued in PA

Legal business name

BUFFALO VALLEY LUTHERAN VILLAGE

Practice address

189 E Tressler Blvd
Lewisburg, PA 17837-9272

Phone

(570) 523-4226

NPI assigned

May 6, 2014

Last updated

May 6, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Traci Lynn Kline, OTANPI 1083025480

Title

Occupational Threapy Assistant

Phone

(570) 523-4226

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Traci Lynn Kline, COTA

  • Occupational Therapy Assistant
  • Lewisburg, PA
  • NPI 1083025480
  Authorized official Same address or phone

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

{
    "created_epoch": "1399334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399334400000",
    "number": "1033529490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 FOREST HILL RD",
            "city": "MIFFLINBURG",
            "state": "PA",
            "postal_code": "178447004",
            "telephone_number": "570-412-5064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "189 E TRESSLER BLVD",
            "city": "LEWISBURG",
            "state": "PA",
            "postal_code": "178379272",
            "telephone_number": "570-523-4226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUFFALO VALLEY LUTHERAN VILLAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-06",
        "last_updated": "2014-05-06",
        "status": "A",
        "authorized_official_last_name": "KLINE",
        "authorized_official_first_name": "TRACI",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OCCUPATIONAL THREAPY ASSISTANT",
        "authorized_official_telephone_number": "570-523-4226",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OTA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "PA",
            "license": "OP006155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William B Bruce, MD
• Peggy Bryant
• Catherine Bryner
• Denise M Bubb, RNFA
• Bucknell University
• Matthew Tyler Bulkley, PA-C
• Sherri L Burkland, PT
• Sarah Burns
• Victoria Anne Bydeley
• Marlene Byler, LMT

• Skilled Nursing Facility in Lewisburg, PA
• Providers in Lewisburg, PA by specialty
• Skilled Nursing Facility in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2014; 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.