Active NPI
Amy Chalot
- Occupational Therapy Assistant
- Wellsboro, PA
National Provider Identifier
1144650607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- OP007140
- Practice address
- 1883 Shumway Hill Road
Broad Acres Health and Rehabilitation Center
Wellsboro, PA 16901 - Phone
- (570) 724-3913
- Fax
- (414) 918-2573
- NPI assigned
- Nov 20, 2013
- Last updated
- Nov 20, 2013
- 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 Therapy Assistant | 224Z00000X | OP007140 | PA | Primary |
Addresses
Primary practice location
1883 Shumway Hill Road
Broad Acres Health and Rehabilitation Center
Wellsboro, PA 16901
Mailing address
111 W Michigan St
Progressive Step Corporation
Milwaukee, WI 53203-2903
Phone (414) 908-8781
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 |
|---|---|---|---|
| OP007140 | PA | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1384905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1384905600000",
"number": "1144650607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 W MICHIGAN ST",
"address_2": "PROGRESSIVE STEP CORPORATION",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532032903",
"telephone_number": "414-908-8781",
"fax_number": "414-918-2573"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1883 SHUMWAY HILL ROAD",
"address_2": "BROAD ACRES HEALTH AND REHABILITATION CENTER",
"city": "WELLSBORO",
"state": "PA",
"postal_code": "16901",
"telephone_number": "570-724-3913",
"fax_number": "414-918-2573"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHALOT",
"first_name": "AMY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-11-20",
"last_updated": "2013-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "PA",
"license": "OP007140",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wellsboro, PA
- Ronald Wayne Callenberger, MD
- Edward Jeffrey Candela, DDS
- Douglas Candelario, LPC
- Carleton Senior Care and Rehabilitation Center LLC (Carleton Healthcare and Rehabilitation Center)
- Casey Loren Carpenter, PTA
- William Douglas Chancellor, LCSW
- Barry A Clark, MD
- Mary Catherine Clark, MS, BSL, BSC, MT
- Ann J Cole, CRNP
- Concern Professional Services for Children, Youth, & Families
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.