Active NPI
Paula Abersold, COTA/L
- Community Health Worker
- Plymouth Meeting, PA
National Provider Identifier
1104158765
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- License
- OP003165L
- Practice address
- 2250 Hickory Rd Ste 240
Plymouth Meeting, PA 19462-2225 - Phone
- (800) 465-3203
- NPI assigned
- Feb 8, 2010
- 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 |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | OP003165L | PA | Primary |
Addresses
Primary practice location
2250 Hickory Rd Ste 240
Plymouth Meeting, PA 19462-2225
Mailing address
546 New Rd
Enon Valley, PA 16120-1604
Phone (724) 336-3099
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 |
|---|---|---|---|
| OP003165L | PA | MD | Community Health Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265587200000",
"number": "1104158765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "546 NEW RD",
"city": "ENON VALLEY",
"state": "PA",
"postal_code": "161201604",
"telephone_number": "724-336-3099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2250 HICKORY RD STE 240",
"city": "PLYMOUTH MEETING",
"state": "PA",
"postal_code": "194622225",
"telephone_number": "800-465-3203"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABERSOLD",
"first_name": "PAULA",
"credential": "COTA/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-02-08",
"last_updated": "2010-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "PA",
"license": "OP003165L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plymouth Meeting, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.