Organization Active NPI

Pediatric and Adult Therapy Services

  • Occupational Therapist
  • Dickson City, PA
National Provider Identifier
1073597019
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
PEDIATRIC AND ADULT THERAPY SERVICES
Practice address
851 Commerce Blvd
Suite 107
Dickson City, PA 18519-1677
Phone
(570) 489-5561
Fax
(570) 489-5563
NPI assigned
Dec 2, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Ms. Katherine Yanick
Title
Vice-President
Phone
(570) 489-5561

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X
Rehabilitation PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 225400000X
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X Primary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X

Addresses

Primary practice location

851 Commerce Blvd
Suite 107
Dickson City, PA 18519-1677

Mailing address

851 Commerce Blvd
Suite 107
Dickson City, PA 18519-1677
Phone (570) 489-5561

Other identifiers 1

IdentifierTypeStateIssuer
1000012340008MedicaidPA

National Provider Directory

National Provider Directory

Locations

851 Commerce Blvd
Ste 107
Scranton, PA 18519
Phone (570) 302-4242

NPI Registry JSON

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

{
    "created_epoch": "1133481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1073597019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "851 COMMERCE BLVD",
            "address_2": "SUITE 107",
            "city": "DICKSON CITY",
            "state": "PA",
            "postal_code": "185191677",
            "telephone_number": "570-489-5561",
            "fax_number": "570-489-5563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "851 COMMERCE BLVD",
            "address_2": "SUITE 107",
            "city": "DICKSON CITY",
            "state": "PA",
            "postal_code": "185191677",
            "telephone_number": "570-489-5561",
            "fax_number": "570-489-5563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC AND ADULT THERAPY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-02",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "YANICK",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_title_or_position": "VICE-PRESIDENT",
        "authorized_official_telephone_number": "570-489-5561",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000012340008",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dickson City, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.