Krista Etzweiler, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OP001264L Issued in PA

Practice address

420 Summers Rd
Millersburg, PA 17061-8894

Phone

(717) 215-3214

NPI assigned

Jan 30, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1359504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359504000000",
    "number": "1053659755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 SUMMERS RD",
            "city": "MILLERSBURG",
            "state": "PA",
            "postal_code": "170618894",
            "telephone_number": "717-215-3214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 SUMMERS RD",
            "city": "MILLERSBURG",
            "state": "PA",
            "postal_code": "170618894",
            "telephone_number": "717-215-3214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ETZWEILER",
        "first_name": "KRISTA",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-30",
        "last_updated": "2013-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "PA",
            "license": "OP001264L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dr. Steven C. Weller, Inc.
• Dr. Steven C. Weller, Inc.
• David Williams Ellis, MD
• Julie Marie Ellis, OTR/L
• Adrienne Kathleen Eshleman
• Joslyn Catherine Fisch, M.S. CCC-SLP
• Tiffany Lyn Fonagy, A.T.C., P.E.S.
• John Poole Forney, MD
• Caitlin Annice Gardner, MPT
• Stephanie Gehman, LAT, ATC, CEAS

• Occupational Therapy Assistant in Millersburg, PA
• Providers in Millersburg, PA by specialty
• Occupational Therapy Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2013; 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.