Mia Oboyle
Individual provider Active NPI Occupational Therapist · Chester Springs, PA
NPI 1093213639 · NPPES record last updated Apr 7, 2022
Key facts
- NPI
- 1093213639
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- OC014460 (PA)
- Practice address
- 130 Magnolia Dr
Chester Springs, PA 19425-3611 - Phone
- (610) 389-6191
- NPI assigned
- Jan 29, 2018
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180419001331 | PA | Practitioner - Occupational Therapist in Private Practice | 3779846043 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OC014460 | PA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthpro Heritage Rehab & Fitness, LLC | Occupational Therapist | Current |
Accepting new patients |
| Healthpro Heritage Rehab & Fitness, LLC | Occupational Therapist | Current |
Accepting new patients |
| Young Enterprises | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OC014460 | PA | Yes |
Addresses
Primary practice location
130 Magnolia Dr
Chester Springs, PA 19425-3611
Mailing address
124 Kittery CT
Sellersville, PA 18960-2153
Phone (215) 767-2289
Other providers in Chester Springs, PA
- Darab Nasserzad
- Gwendolyn Elizabeth Niebler
- Christopher Nodecker
- Justin Novak
- Mandy Novak
- Leonidah Kenyansa Okemwa
- Jo R Oliver-Yeager
- Onward OT
- Orange Dental Inc
- Daniel G Orr
All providers in Chester Springs, PA · Occupational Therapist in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 7, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.