Active NPI
Timothy Jared Lavelle, ORT/L
- Occupational Therapist
- Weatherly, PA
National Provider Identifier
1093416851
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OC018757
- Practice address
- 1000 Evergreen Ave
Weatherly, PA 18255-1599 - Phone
- (570) 427-8683
- NPI assigned
- Mar 16, 2023
- Sex
- Male
- 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 | OC018757 | PA | Primary |
Addresses
Primary practice location
1000 Evergreen Ave
Weatherly, PA 18255-1599
Mailing address
182 S Meade St
Wilkes Barre, PA 18702-6332
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 |
|---|---|---|---|
| OC018757 | PA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678924800000",
"number": "1093416851",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "182 S MEADE ST",
"city": "WILKES BARRE",
"state": "PA",
"postal_code": "187026332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 EVERGREEN AVE",
"city": "WEATHERLY",
"state": "PA",
"postal_code": "182551599",
"telephone_number": "570-427-8683"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAVELLE",
"first_name": "TIMOTHY",
"middle_name": "JARED",
"credential": "ORT/L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-03-16",
"last_updated": "2023-03-16",
"certification_date": "2023-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "PA",
"license": "OC018757",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Weatherly, PA
- Guardian Rehabilitation Services
- Christina Renee Hauser
- Maggie M Haywood, CRNP
- Alianna Hernandez
- Magdalena Huang, OTR/L
- Lehigh Valley Physician Group (LVPG Internal Medicine - Weatherly)
- Donna Marie Lombardo, PT
- Jeffrey Edward Mancuso, OTR/L
- Edward Franklin Melber
- Christian Michael Ormiston, LAT, ATC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.