Active NPI
Liza Kerstetter, MSOTR/L
- Occupational Therapist
- Harrisburg, PA
National Provider Identifier
1306284013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Practice address
- 1901 N 5TH St
Harrisburg, PA 17102-1510 - Phone
- (717) 439-2859
- NPI assigned
- Jun 5, 2013
- Sex
- Female
- Sole proprietor
- No
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 | PA | Primary |
Addresses
Primary practice location
1901 N 5TH St
Harrisburg, PA 17102-1510
Mailing address
341 Nelson Ter
Millersburg, PA 17061-2420
Phone (717) 439-2859
Other practice location 1
990 Medical Rd
Millersburg, PA 17061-1235
Phone (717) 692-4751
Other practice location 2
341 Nelson Ter
Millersburg, PA 17061-2420
Phone (717) 439-2859
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OC012884 | Other | PA | OT LICENSE |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | MILLERSBURG | Health Information Exchange (HIE) | |
| Other URL | MILLERSBURG | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
64 Ridgway Dr
Suite 1
Dallas, PA 18612-9263
Phone (570) 255-4578
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cip Rehabilitation Inc | Occupational Therapist | Current | Accepting new patients |
Locations
64 Ridgway Dr
#1
Dallas, PA 18612
Phone (570) 255-4578
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.
-
- Occupational Therapist
- Dallas, PA
- NPI 1669963039
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1370390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591228800000",
"number": "1306284013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "341 NELSON TER",
"city": "MILLERSBURG",
"state": "PA",
"postal_code": "170612420",
"telephone_number": "717-439-2859"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1901 N 5TH ST",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "171021510",
"telephone_number": "717-439-2859"
}
],
"practiceLocations": [
{
"address_1": "990 Medical Rd",
"address_purpose": "LOCATION",
"city": "Millersburg",
"state": "PA",
"postal_code": "170611235",
"country_code": "US",
"telephone_number": "717-692-4751",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "341 Nelson Ter",
"address_purpose": "LOCATION",
"city": "Millersburg",
"state": "PA",
"postal_code": "170612420",
"country_code": "US",
"telephone_number": "717-439-2859",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KERSTETTER",
"first_name": "LIZA",
"name_prefix": "Mrs.",
"credential": "MSOTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-06-05",
"last_updated": "2020-06-04",
"certification_date": "2020-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "PA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OT LICENSE",
"identifier": "OC012884",
"state": "PA"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "MILLERSBURG",
"affiliation": "N",
"endpointDescription": "Healthcare",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "990 Medical Rd",
"city": "Millersburg",
"state": "PA",
"country_code": "US",
"postal_code": "170611235",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "MILLERSBURG",
"affiliation": "N",
"endpointDescription": "Healthcare",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Healthcare",
"address_1": "990 Medical Rd",
"city": "Millersburg",
"state": "PA",
"country_code": "US",
"postal_code": "170611235",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Harrisburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.