Individual provider Active NPI

Sandra P. Y. L. Thieblemont, M. S. O.T.R./L

  • Occupational Therapist
  • Harrisburg, PA
National Provider Identifier
1356674618
Registry record updated Sep 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OC008711 Issued in PA
Practice address
2151 Linglestown Rd
Harrisburg, PA 17110-9499
Phone
(717) 540-9400
NPI assigned
Sep 17, 2009
Last updated
Sep 17, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2009

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 OC008711 PA Primary

Addresses

Primary practice location

2151 Linglestown Rd
Harrisburg, PA 17110-9499

Mailing address

2217 Continental Dr
Harrisburg, PA 17110-3465
Phone (717) 233-6227

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
OC008711PAMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1253145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253145600000",
    "number": "1356674618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2217 CONTINENTAL DR",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171103465",
            "telephone_number": "717-233-6227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2151 LINGLESTOWN RD",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171109499",
            "telephone_number": "717-540-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THIEBLEMONT",
        "first_name": "SANDRA",
        "middle_name": "P. Y. L.",
        "name_prefix": "Mrs.",
        "credential": "M. S. O.T.R./L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-17",
        "last_updated": "2009-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC008711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2009; 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.