Active NPI
Emily Maisto, OT
- Occupational Therapist
- Lebanon, PA
National Provider Identifier
1063441244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OC009945
- Practice address
- 50 Sunrise Dr
Lebanon, PA 17042-8024 - Phone
- (717) 679-3419
- NPI assigned
- Jul 1, 2006
- Last updated
- May 7, 2015
- 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 | OC009945 | PA | Primary |
Addresses
Primary practice location
50 Sunrise Dr
Lebanon, PA 17042-8024
Mailing address
50 Sunrise Dr
Lebanon, PA 17042-8024
Phone (717) 679-3419
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OC009945 | Other | PA | LICENSE |
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 |
|---|---|---|---|
| OC009945 | PA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1430956800000",
"number": "1063441244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 SUNRISE DR",
"city": "LEBANON",
"state": "PA",
"postal_code": "170428024",
"telephone_number": "717-679-3419"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 SUNRISE DR",
"city": "LEBANON",
"state": "PA",
"postal_code": "170428024",
"telephone_number": "717-679-3419"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAISTO",
"first_name": "EMILY",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-01",
"last_updated": "2015-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "PA",
"license": "OC009945",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "OC009945",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lebanon, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.