Active NPI
Derek Joseph Drasba
- Occupational Therapist
- Scranton, PA
National Provider Identifier
1356801344
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OC016060
- Practice address
- 423 Scranton Carbondale Hwy
Scranton, PA 18508-1115 - Phone
- (570) 207-5502
- NPI assigned
- Mar 25, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OC016060 | PA | Primary |
Addresses
Primary practice location
423 Scranton Carbondale Hwy
Scranton, PA 18508-1115
Mailing address
743 Clevio St
Old Forge, PA 18518-2232
Phone (570) 650-5005
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
| License | State | Type | Specialty |
|---|---|---|---|
| OC016060 | PA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553472000000",
"number": "1356801344",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "743 CLEVIO ST",
"city": "OLD FORGE",
"state": "PA",
"postal_code": "185182232",
"telephone_number": "570-650-5005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "423 SCRANTON CARBONDALE HWY",
"city": "SCRANTON",
"state": "PA",
"postal_code": "185081115",
"telephone_number": "570-207-5502"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DRASBA",
"first_name": "DEREK",
"middle_name": "JOSEPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-03-25",
"last_updated": "2019-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "PA",
"license": "OC016060",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Scranton, PA
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.