Active NPI
Tara Lynn Pearson, OTR/L
- Occupational Therapist
- Hanover TWP, PA
National Provider Identifier
1104078351
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OC004384L
- Practice address
- 1548 Sans Souci Pkwy
Hanover TWP, PA 18706-6028 - Phone
- (570) 825-8725
- NPI assigned
- Oct 21, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 | OC004384L | PA | Primary |
Addresses
Primary practice location
1548 Sans Souci Pkwy
Hanover TWP, PA 18706-6028
Mailing address
12 Oaklawn Ave
Hanover TWP, PA 18706-4101
Phone (570) 822-1542
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OC004384L | PA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1224547200000",
"number": "1104078351",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 OAKLAWN AVE",
"city": "HANOVER TWP",
"state": "PA",
"postal_code": "187064101",
"telephone_number": "570-822-1542"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1548 SANS SOUCI PKWY",
"city": "HANOVER TWP",
"state": "PA",
"postal_code": "187066028",
"telephone_number": "570-825-8725"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEARSON",
"first_name": "TARA",
"middle_name": "LYNN",
"name_prefix": "Mr.",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-10-21",
"last_updated": "2008-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "PA",
"license": "OC004384L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hanover TWP, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.