Diane S Komitzky, OTRL

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OC003761L Issued in PA

Practice address

551 W Lancaster Ave
Haverford, PA 19041-1419

Phone

(610) 525-4000

NPI assigned

May 1, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• H2 Rehabilitation Extension Services, LLC

  • Rehabilitation Clinic/Center
  • Nazareth, PA
  • NPI 1457706822
  Medicare reassignment NPD
• H2 Rehabilitation Extension Services LLC

  • Physical Therapist
  • Collierville, TN
  • NPI 1841180155

  Occupational Therapist

  NPD
• H2 Rehabilitation Extension Services, LLC

  • Rehabilitation Clinic/Center
  • Boyertown, PA
  • NPI 1780039149
  NPD (past)

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154542934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1127 COVENTRY RD",
            "city": "CHELTENHAM",
            "state": "PA",
            "postal_code": "190121003",
            "telephone_number": "215-635-9583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "551 W LANCASTER AVE",
            "city": "HAVERFORD",
            "state": "PA",
            "postal_code": "190411419",
            "telephone_number": "610-525-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOMITZKY",
        "first_name": "DIANE",
        "middle_name": "S",
        "credential": "OTRL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC003761L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eileen B Keaveney, COTA/L
• Lauren Elizabeth Keith, MS, LPC
• Linda Marie Kilgus
• Elizabeth F Kleber, PHD
• Megan Klobedanz, MS, NCC
• Ildiko Korenyi-Both
• Edward Koslowsky, LPC
• Moira L Kowalczyk, OT/L
• Allison Kozloff, PYSD
• Marlie Krickus

• Occupational Therapist in Haverford, PA
• Providers in Haverford, PA by specialty
• Occupational Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.