Active NPI
Mary Kathryn Washok, COTA/L
- Driving and Community Mobility Occupational Therapy Assistant
- Fairview, PA
National Provider Identifier
1184099012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driving and Community Mobility Occupational Therapy Assistant
- License
- OP000293L
- Practice address
- 900 Manchester Road
Fairview, PA 16415 - Phone
- (814) 838-4822
- Fax
- (814) 833-8356
- NPI assigned
- Dec 3, 2015
- Last updated
- Dec 3, 2015
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Driving and Community Mobility Occupational Therapy Assistant | 224ZR0403X | OP000293L | PA | Primary |
Addresses
Primary practice location
900 Manchester Road
Fairview, PA 16415
Mailing address
1100 Shawnee Road
Lima, OH 45805
Phone (419) 999-2030
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 |
|---|---|---|---|
| OP000293L | PA | MD | Driving and Community Mobility Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1449100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449100800000",
"number": "1184099012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 SHAWNEE ROAD",
"city": "LIMA",
"state": "OH",
"postal_code": "45805",
"telephone_number": "419-999-2030",
"fax_number": "419-991-0909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 MANCHESTER ROAD",
"city": "FAIRVIEW",
"state": "PA",
"postal_code": "16415",
"telephone_number": "814-838-4822",
"fax_number": "814-833-8356"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WASHOK",
"first_name": "MARY",
"middle_name": "KATHRYN",
"name_prefix": "Mrs.",
"credential": "COTA/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-12-03",
"last_updated": "2015-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "224ZR0403X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant, Driving and Community Mobility",
"state": "PA",
"license": "OP000293L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairview, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.