Susan L. Deasey, COTA

Individual provider Active NPI Specialist · Sharon, PA

NPI 1124220124 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1124220124
Entity type
Individual (NPI type 1)
Primary specialty
Specialist 174400000X
License
OP002864L (PA)
Practice address
663 E State St
Sharon, PA 16146-2006
Phone
(724) 983-3875
NPI assigned
Jun 1, 2007
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
OP002864LPAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Sharon Regional Health System Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X OP002864L PA Yes

Addresses

Primary practice location

663 E State St
Sharon, PA 16146-2006

Mailing address

126 Riggs Rd
West Middlesex, PA 16159-2418
Phone (724) 528-9454

Other names

  • Susan L. Stoneberg Former name

Other providers in Sharon, PA

All providers in Sharon, PA · Specialist in Pennsylvania

Sources for this page

Verify at the official NPI Registry.