Active NPI
Deborah Ann Kulich, COTA
- Occupational Therapy Assistant
- Schuylkill Haven, PA
National Provider Identifier
1235350778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- OP000141L
- Practice address
- 23 Haven Street
Schuylkill Haven, PA 17972 - Phone
- (570) 385-3586
- NPI assigned
- May 1, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | OP000141L | PA | Primary |
Addresses
Primary practice location
23 Haven Street
Schuylkill Haven, PA 17972
Mailing address
23 Haven Street
Schuylkill Haven, PA 17972
Phone (570) 385-3586
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 |
|---|---|---|---|
| OP000141L | PA | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1235350778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23 HAVEN STREET",
"city": "SCHUYLKILL HAVEN",
"state": "PA",
"postal_code": "17972",
"telephone_number": "570-385-3586"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23 HAVEN STREET",
"city": "SCHUYLKILL HAVEN",
"state": "PA",
"postal_code": "17972",
"telephone_number": "570-385-3586"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KULICH",
"first_name": "DEBORAH",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "COTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "PA",
"license": "OP000141L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Schuylkill Haven, PA
- Home Health & Support Services, Inc. (Lori's Angels)
- Ellen M Horoschak, LPN
- Janice Price, M.a.
- Robert Henry Kempes, DDS
- Bryan Julius Kiraly, MS CCC-SLP
- Victoria N Lashenykh-Mumbauer, LPC
- Laurel Mountain Counseling LLC
- Lehigh Valley Physician Group (LVPG Internal Medicine - Orwigsburg)
- Melinda S Leonti, MA, LPC
- Benjamin Lyle Lloyd, ATC
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.