Patricia Rose Chadderdon, PTA COTA/L

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

TE1002554 Issued in PA

Practice address

2140 Warrensville Rd
Montoursville, PA 17754-9621

Phone

(570) 433-3161

NPI assigned

Dec 27, 2017

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1514332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1514332800000",
    "number": "1306352430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8206 PLEASANT VALLEY RD",
            "city": "COGAN STATION",
            "state": "PA",
            "postal_code": "177288522",
            "telephone_number": "570-971-3332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2140 WARRENSVILLE RD",
            "city": "MONTOURSVILLE",
            "state": "PA",
            "postal_code": "177549621",
            "telephone_number": "570-433-3161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHADDERDON",
        "first_name": "PATRICIA",
        "middle_name": "ROSE",
        "credential": "PTA COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-27",
        "last_updated": "2017-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "PA",
            "license": "OP005794",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "PA",
            "license": "TE1002554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deanna Kay Bump, CRNP
• Robert J Burger, PT
• John Thomas Burns, M.D.
• Erin Carney, PTA
• Justin Joseph Catino, PT
• Robert Edward Chianelli, DMD
• Clearsound Hearing Services, LLC
• Chloe Michelle Clemens, OTR/L, MOT
• Rachel Ann Clements, CPHT
• David Covert, PA-C

• Physical Medicine & Rehabilitation Physician in Montoursville, PA
• Providers in Montoursville, PA by specialty
• Physical Medicine & Rehabilitation Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2017; 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.