Active NPI
Susan Blasko, OTR/L
- Occupational Therapist
- Tamaqua, PA
National Provider Identifier
1053807545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OC005057L
- Practice address
- 149 Lafayette Ave
Tamaqua, PA 18252-4619 - Phone
- (570) 668-1775
- NPI assigned
- Jul 8, 2018
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OC005057L | PA | Primary |
Addresses
Primary practice location
149 Lafayette Ave
Tamaqua, PA 18252-4619
Mailing address
133 Caplos Rd
White Haven, PA 18661-2947
Phone (570) 578-6540
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 |
|---|---|---|---|
| OC005057L | PA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531008000000",
"number": "1053807545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "133 CAPLOS RD",
"city": "WHITE HAVEN",
"state": "PA",
"postal_code": "186612947",
"telephone_number": "570-578-6540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "149 LAFAYETTE AVE",
"city": "TAMAQUA",
"state": "PA",
"postal_code": "182524619",
"telephone_number": "570-668-1775"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLASKO",
"first_name": "SUSAN",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-08",
"last_updated": "2018-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "PA",
"license": "OC005057L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tamaqua, PA
- Lisa Marie Banning, DMD, MSD
- Maha Aledan Barnes, MD
- Gregory Mark Bentzinger, D.P.M
- Bio-Medical Applications of Pennsylvania Inc (Fresenius Medical Care of Tamaqua)
- Bio-Medical Applications of Pennsylvania, Inc (Fresenius Medical Care of Tamaqua)
- Frank J Bobick, MD
- Maria T Braskie, PAC
- Jessica Ann Brennan
- Bright Smile Dental Art LLC
- Shannon K. Brophy-Wolter, D.M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.