Active NPI
Magdalena Huang, OTR/L
- Community Health Worker
- Weatherly, PA
National Provider Identifier
1053753079
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- License
- OC012307
- Practice address
- 1000 Evergreen Ave
Weatherly, PA 18255-1530 - Phone
- (570) 427-8683
- NPI assigned
- Jul 18, 2013
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | OC012307 | PA | Primary |
Addresses
Primary practice location
1000 Evergreen Ave
Weatherly, PA 18255-1530
Mailing address
1000 Evergreen Ave
Weatherly, PA 18255-1530
Phone (570) 427-8683
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OC012307 | PA | MD | Community Health Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1374105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1374105600000",
"number": "1053753079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 EVERGREEN AVE",
"city": "WEATHERLY",
"state": "PA",
"postal_code": "182551530",
"telephone_number": "570-427-8683"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 EVERGREEN AVE",
"city": "WEATHERLY",
"state": "PA",
"postal_code": "182551530",
"telephone_number": "570-427-8683"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUANG",
"first_name": "MAGDALENA",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-07-18",
"last_updated": "2013-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "PA",
"license": "OC012307",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Weatherly, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.