Pamela Moore Wyckoff, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OC003029L Issued in PA

Practice address

1233 N. 9TH Street
Stroudsburg, PA 18360-1172

Phone

(570) 872-9222

Fax

(570) 424-5664

NPI assigned

Apr 17, 2007

Last updated

Jun 12, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339459200000",
    "number": "1326263997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 SPANGENBURG AVENUE",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183012724",
            "telephone_number": "570-977-3691",
            "fax_number": "570-424-5664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1233 N. 9TH STREET",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "183601172",
            "telephone_number": "570-872-9222",
            "fax_number": "570-424-5664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYCKOFF",
        "first_name": "PAMELA",
        "middle_name": "MOORE",
        "name_prefix": "Mrs.",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-17",
        "last_updated": "2012-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC003029L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1017878950001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nathan Wojick
• Daniel Wright, PA-C
• Erica Wright, RN
• Wyckoff Chiropractic and Wellness
• Claes R Wyckoff, DC
• Veronika Nyanyku Xiao
• Sarah Lynn Yermal, RN, BSN
• Melissa Yetter, RN IBCLC
• Cecilia L Yost, ATC
• Sara Cinelli Young

• Occupational Therapist in Stroudsburg, PA
• Providers in Stroudsburg, PA by specialty
• Occupational Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2012; 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.