Individual provider Active NPI

David Tressa, COTAIL

  • Occupational Therapist
  • Drums, PA
National Provider Identifier
1164639860
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OP001986L Issued in PA
Practice address
149 South Hunter Highway
Therapy Dept
Drums, PA 18222
Phone
(570) 788-7321
Fax
(570) 788-7267
NPI assigned
May 16, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 OP001986L PA Primary

Addresses

Primary practice location

149 South Hunter Highway
Therapy Dept
Drums, PA 18222

Mailing address

151 Rear South River St
Apt a
Plains, PA 18705
Phone (570) 239-5274

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
OP001986LPAMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164639860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 REAR SOUTH RIVER ST",
            "address_2": "APT A",
            "city": "PLAINS",
            "state": "PA",
            "postal_code": "18705",
            "telephone_number": "570-239-5274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 SOUTH HUNTER HIGHWAY",
            "address_2": "THERAPY DEPT",
            "city": "DRUMS",
            "state": "PA",
            "postal_code": "18222",
            "telephone_number": "570-788-7321",
            "fax_number": "570-788-7267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRESSA",
        "first_name": "DAVID",
        "credential": "COTAIL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OP001986L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Drums, PA

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.