Active NPI
Amanda Lynn Borick, MS OTR/L
- Long Term Care Hospital
- Scranton, PA
National Provider Identifier
1245638147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Hospital
- License
- OC012385
- Practice address
- 401 Penn Ave
Scranton, PA 18503-1213 - Phone
- (570) 961-4300
- NPI assigned
- Dec 9, 2014
- 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 |
|---|---|---|---|---|
| Long Term Care Hospital | 282E00000X | OC012385 | PA | Primary |
Addresses
Primary practice location
401 Penn Ave
Scranton, PA 18503-1213
Mailing address
401 Penn Ave
Scranton, PA 18503-1213
Phone (570) 961-4300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fox Rehabilitation Services Inc | Current | Accepting new patients |
Locations
7 Carnegie Plz
Cherry Hill, NJ 08003
470 N Lewis Rd
Limerick, PA 19468
Phone (610) 792-8800
1122 Highway 315 Blvd
Wilkes Barre, PA 18702
Phone (877) 407-4322
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1418083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1418083200000",
"number": "1245638147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 PENN AVE",
"city": "SCRANTON",
"state": "PA",
"postal_code": "185031213",
"telephone_number": "570-961-4300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 PENN AVE",
"city": "SCRANTON",
"state": "PA",
"postal_code": "185031213",
"telephone_number": "570-961-4300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BORICK",
"first_name": "AMANDA",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "MS OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-12-09",
"last_updated": "2014-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "282E00000X",
"taxonomy_group": "",
"desc": "Long Term Care Hospital",
"state": "PA",
"license": "OC012385",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Scranton, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.