Marlene M Basiago, O.T.R./L.,P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

006324L Issued in PA

Practice address

39 W Ludlow St
Summit Hill, PA 18250-1141

Phone

(570) 645-4001

Fax

(570) 645-4001

NPI assigned

Jun 23, 2005

Last updated

Jan 20, 2009By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/23663/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Helping Hand Clinic

  • Physical Therapist
  • Summit Hill, PA
  • NPI 1679749949
  Authorized official Same address or phone
• Vermillion Dental Office PC

  • General Practice Dentistry
  • Summit Hill, PA
  • NPI 1295777977
  NPD (past)

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

{
    "created_epoch": "1119484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232409600000",
    "number": "1114923133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 W LUDLOW ST",
            "city": "SUMMIT HILL",
            "state": "PA",
            "postal_code": "182501141",
            "telephone_number": "570-645-4001",
            "fax_number": "570-645-4001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 W LUDLOW ST",
            "city": "SUMMIT HILL",
            "state": "PA",
            "postal_code": "182501141",
            "telephone_number": "570-645-4001",
            "fax_number": "570-645-4001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASIAGO",
        "first_name": "MARLENE",
        "middle_name": "M",
        "name_prefix": "Miss",
        "credential": "O.T.R./L.,P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-23",
        "last_updated": "2009-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "006324L",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC000061L",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kirk A. Arner, DMD
• Childrens General Dentistry PC
• Mary H Fulton
• Helping Hand Clinic
• Donna Kulha
• Jennifer Ann Lee

• Physical Therapist in Summit Hill, PA
• Providers in Summit Hill, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2009; 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.