Active NPI
Wanda Alice Arnold
- Occupational Therapy Assistant
- Manheim, PA
National Provider Identifier
1366092777
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- OP008262
- Practice address
- 544 N Penryn Rd
Manheim, PA 17545-8562 - Phone
- (717) 665-2445
- NPI assigned
- Sep 17, 2019
- Last updated
- Sep 17, 2019
- Sex
- Female
- 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 Therapy Assistant | 224Z00000X | OP008262 | PA | Primary |
Addresses
Primary practice location
544 N Penryn Rd
Manheim, PA 17545-8562
Mailing address
164 W High St Apt 101
Elizabethtown, PA 17022-2080
Phone (717) 315-6779
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 |
|---|---|---|---|
| OP008262 | PA | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568678400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568678400000",
"number": "1366092777",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "164 W HIGH ST APT 101",
"city": "ELIZABETHTOWN",
"state": "PA",
"postal_code": "170222080",
"telephone_number": "717-315-6779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "544 N PENRYN RD",
"city": "MANHEIM",
"state": "PA",
"postal_code": "175458562",
"telephone_number": "717-665-2445"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARNOLD",
"first_name": "WANDA",
"middle_name": "ALICE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-17",
"last_updated": "2019-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "PA",
"license": "OP008262",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Manheim, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 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.