Tracey Olenik

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OP007617 Issued in PA

Practice address

9108 State Highway 198
Conneautville, PA 16406-2646

Phone

(814) 587-2012

NPI assigned

Oct 20, 2015

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1445299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445299200000",
    "number": "1194196915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4650 PYMATUNING LAKE RD",
            "city": "ANDOVER",
            "state": "OH",
            "postal_code": "440039688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9108 STATE HIGHWAY 198",
            "city": "CONNEAUTVILLE",
            "state": "PA",
            "postal_code": "164062646",
            "telephone_number": "814-587-2012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLENIK",
        "first_name": "TRACEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-20",
        "last_updated": "2015-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "PA",
            "license": "OP007617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph John Kohler III, DDS
• John Paul Lukens, COTA/L
• Brenda P McCloskey, CRNP
• Amy Joy Moose, PTA
• Jennifer E Nahay, PHDHP
• Danijela Pandza
• Melissa Pratt, OTR/L
• Rolling Fields Inc
• Rolling Fields Inc (Therapy Care at the Fields)
• Rolling Fields PA Opco LLC (Rolling Fields Nursing and Rehabilitation)

• Occupational Therapy Assistant in Conneautville, PA
• Providers in Conneautville, PA by specialty
• Occupational Therapy Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 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.

Verify at the official NPI Registry.