Cecilia J Broscius

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OC005939L Issued in PA

Practice address

1 N Belfield Ave
Sunny Days
Havertown, PA 19083-4904

Phone

(610) 449-1600

Fax

(610) 449-2655

NPI assigned

May 15, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

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": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194220800000",
    "number": "1356557110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10917 KIRBY DR",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191544205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 N BELFIELD AVE",
            "address_2": "SUNNY DAYS",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "190834904",
            "telephone_number": "610-449-1600",
            "fax_number": "610-449-2655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROSCIUS",
        "first_name": "CECILIA",
        "middle_name": "J",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-15",
        "last_updated": "2007-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC005939L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2007; 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.