Individual provider Active NPI

Debra Bridgette Obst, OTL

  • Occupational Therapist
  • Laureldale, PA
National Provider Identifier
1356592133
Registry record updated Oct 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OC003569L Issued in PA
Practice address
2125 Elizabeth Ave
Laureldale, PA 19605-2259
Phone
(610) 921-9292
NPI assigned
Oct 10, 2008
Last updated
Oct 10, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2008

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 OC003569L PA Primary

Addresses

Primary practice location

2125 Elizabeth Ave
Laureldale, PA 19605-2259

Mailing address

10 Salem Cir
Fleetwood, PA 19522-1034
Phone (610) 781-9072

Other identifiers 1

IdentifierTypeStateIssuer
OC003569LOtherPAOCCUPATIONAL THERAPIST STATE LICENCE

Other names 1

  • Debra Bridgette Cone Other name

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
OC003569LPAMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1223596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223596800000",
    "number": "1356592133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 SALEM CIR",
            "city": "FLEETWOOD",
            "state": "PA",
            "postal_code": "195221034",
            "telephone_number": "610-781-9072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2125 ELIZABETH AVE",
            "city": "LAURELDALE",
            "state": "PA",
            "postal_code": "196052259",
            "telephone_number": "610-921-9292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBST",
        "first_name": "DEBRA",
        "middle_name": "BRIDGETTE",
        "credential": "OTL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-10",
        "last_updated": "2008-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC003569L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OCCUPATIONAL THERAPIST STATE LICENCE",
            "identifier": "OC003569L",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBRA",
            "last_name": "CONE",
            "middle_name": "BRIDGETTE",
            "credential": "OTL",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Laureldale, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2008; 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.