Individual provider Active NPI

Breia Szagola, MSOTR/L

  • Occupational Therapist
  • Fayetteville, PA
National Provider Identifier
1205164258
Registry record updated Jun 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OC012112 Issued in PA
Practice address
6375 Chambersburg Rd
Fayetteville, PA 17222-8350
Phone
(717) 360-6417
NPI assigned
Dec 3, 2009
Last updated
Jun 13, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 13, 2013

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 OC012112 PA Primary

Addresses

Primary practice location

6375 Chambersburg Rd
Fayetteville, PA 17222-8350

Mailing address

3368 Landmark CT
Chambersburg, PA 17201-7935
Phone (717) 264-3550

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
OC012112PAMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1259798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371081600000",
    "number": "1205164258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3368 LANDMARK CT",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172017935",
            "telephone_number": "717-264-3550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6375 CHAMBERSBURG RD",
            "city": "FAYETTEVILLE",
            "state": "PA",
            "postal_code": "172228350",
            "telephone_number": "717-360-6417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SZAGOLA",
        "first_name": "BREIA",
        "credential": "MSOTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-03",
        "last_updated": "2013-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC012112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2013; 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.