Individual provider Active NPI

Penina Lindenbaum, OTR/L

  • Occupational Therapist
  • Philadelphia, PA
National Provider Identifier
1306361480
Registry record updated Aug 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OC015167 Issued in PA
Practice address
3502 Scotts LN Ste 711
Philadelphia, PA 19129-1561
Phone
(610) 227-0388
NPI assigned
Aug 9, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OC015167 PA Primary

Addresses

Primary practice location

3502 Scotts LN Ste 711
Philadelphia, PA 19129-1561

Mailing address

20 Taft Ave
Lakewood, NJ 08701-5664
Phone (646) 709-6946

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

LicenseStateTypeSpecialty
OC015167PAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kutest Kids Early Intervention Co. PastSince May 1, 2022 Accepting new patients

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": "1502236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502236800000",
    "number": "1306361480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 TAFT AVE",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087015664",
            "telephone_number": "646-709-6946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3502 SCOTTS LN STE 711",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191291561",
            "telephone_number": "610-227-0388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINDENBAUM",
        "first_name": "PENINA",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-09",
        "last_updated": "2017-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC015167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 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.