Debra a States, LLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

DEBRA A STATES, LLC

Practice address

608 Mifflin St
Huntingdon, PA 16657

Phone

(814) 386-9984

Fax

(814) 299-7320

NPI assigned

May 9, 2016

Organization subpart

No

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

Authorized official

Name

Debra A States, OTR/L CLT MFRP

Title

Practitioner/Occupational Therapist

Phone

(814) 386-9984

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1462752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660780800000",
    "number": "1346696432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15428 RAYSTOWN RD",
            "city": "JAMES CREEK",
            "state": "PA",
            "postal_code": "166578705",
            "telephone_number": "814-386-9984",
            "fax_number": "814-299-8467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 MIFFLIN ST",
            "city": "HUNTINGDON",
            "state": "PA",
            "postal_code": "16657",
            "telephone_number": "814-386-9984",
            "fax_number": "814-299-7320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEBRA A STATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-09",
        "last_updated": "2022-08-18",
        "certification_date": "2022-08-16",
        "status": "A",
        "authorized_official_last_name": "STATES",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRACTITIONER/OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "814-386-9984",
        "authorized_official_credential": "OTR/L CLT MFRP"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12110724",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in Huntingdon, PA
• Occupational Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2022; 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.