Individual provider Active NPI

Austin Jacob Daywalt, OTD

  • Occupational Therapist
  • Gettysburg, PA
National Provider Identifier
1144098310
Registry record updated Dec 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OC019386 Issued in PA
Practice address
867 York Rd
Gettysburg, PA 17325-7501
Phone
(717) 830-5357
NPI assigned
Dec 18, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OC019386 PA Primary

Addresses

Primary practice location

867 York Rd
Gettysburg, PA 17325-7501

Mailing address

219 Joyce Dr
Fayetteville, PA 17222-1115
Phone (717) 830-5357

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

LicenseStateTypeSpecialty
OC019386PAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Benchmark Therapy, Inc Past Accepting new patients
Benchmark Therapy, Inc Past Accepting new patients
Benchmark Therapy, Inc. Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1702857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702857600000",
    "number": "1144098310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 JOYCE DR",
            "city": "FAYETTEVILLE",
            "state": "PA",
            "postal_code": "172221115",
            "telephone_number": "717-830-5357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "867 YORK RD",
            "city": "GETTYSBURG",
            "state": "PA",
            "postal_code": "173257501",
            "telephone_number": "717-830-5357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAYWALT",
        "first_name": "AUSTIN",
        "middle_name": "JACOB",
        "credential": "OTD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-12-18",
        "last_updated": "2023-12-18",
        "certification_date": "2023-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC019386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gettysburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 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.

Verify at the official NPI Registry.