Active NPI
Hunter Korchak
- Occupational Therapist
- Washington, PA
National Provider Identifier
1245658061
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OC12576
- Practice address
- 90 Humbert LN
Washington, PA 15301-6549 - Phone
- (724) 228-5666
- NPI assigned
- Mar 29, 2014
- Sex
- Male
- 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 Therapist | 225X00000X | OC12576 | PA | Primary |
Addresses
Primary practice location
90 Humbert LN
Washington, PA 15301-6549
Mailing address
1045 Ajay Dr
South Park, PA 15129-9560
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 |
|---|---|---|---|
| OC12576 | PA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1396051200000",
"number": "1245658061",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1045 AJAY DR",
"city": "SOUTH PARK",
"state": "PA",
"postal_code": "151299560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "90 HUMBERT LN",
"city": "WASHINGTON",
"state": "PA",
"postal_code": "153016549",
"telephone_number": "724-228-5666"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KORCHAK",
"first_name": "HUNTER",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-03-29",
"last_updated": "2014-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "PA",
"license": "OC12576",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.