Individual provider Active NPI

Valerie Taylor Green, COTA

  • Occupational Therapy Assistant
  • Mechanicsburg, PA
National Provider Identifier
1326869678
Registry record updated Oct 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
520823 Issued in PA
Practice address
100 Mount Allen Dr
Mechanicsburg, PA 17055-6171
Phone
(717) 647-5713
NPI assigned
Oct 21, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 520823 PA Primary

Addresses

Primary practice location

100 Mount Allen Dr
Mechanicsburg, PA 17055-6171

Mailing address

6186 Grant CT
Harrisburg, PA 17112-8551
Phone (717) 491-4679

Other practice location 1

707 Shepherdstown Rd
Mechanicsburg, PA 17055-4276
Phone (717) 591-2100

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
520823PAMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1729468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729468800000",
    "number": "1326869678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6186 GRANT CT",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171128551",
            "telephone_number": "717-491-4679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MOUNT ALLEN DR",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170556171",
            "telephone_number": "717-647-5713"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "707 Shepherdstown Rd",
            "address_purpose": "LOCATION",
            "city": "Mechanicsburg",
            "state": "PA",
            "postal_code": "170554276",
            "country_code": "US",
            "telephone_number": "717-591-2100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREEN",
        "first_name": "VALERIE",
        "middle_name": "TAYLOR",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-21",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "PA",
            "license": "520823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mechanicsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; 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.