Individual provider Active NPI

Rachel Irene Kucherich, COTA/L

  • Occupational Therapy Assistant
  • Whitehall, PA
National Provider Identifier
1174829196
Registry record updated Feb 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
OP006771 Issued in PA
Practice address
1605 Olympic Cir
Apt 2
Whitehall, PA 18052-6181
Phone
(610) 533-7367
NPI assigned
Feb 9, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X OP006771 PA Primary

Addresses

Primary practice location

1605 Olympic Cir
Apt 2
Whitehall, PA 18052-6181

Mailing address

1605 Olympic Cir
Apt 2
Whitehall, PA 18052-6181
Phone (610) 533-7367

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
OP006771PAMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1297209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297209600000",
    "number": "1174829196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 OLYMPIC CIR",
            "address_2": "APT 2",
            "city": "WHITEHALL",
            "state": "PA",
            "postal_code": "180526181",
            "telephone_number": "610-533-7367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 OLYMPIC CIR",
            "address_2": "APT 2",
            "city": "WHITEHALL",
            "state": "PA",
            "postal_code": "180526181",
            "telephone_number": "610-533-7367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUCHERICH",
        "first_name": "RACHEL",
        "middle_name": "IRENE",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-09",
        "last_updated": "2011-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "PA",
            "license": "OP006771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whitehall, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2011; 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.