Active NPI
Charise M Okonski, COTA
- Occupational Therapy Assistant
- Wilkes Barre, PA
National Provider Identifier
1366566911
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- OP003230L
- Practice address
- 200 S Meade St
Wilkes Barre, PA 18702-6221 - Phone
- (570) 823-6131
- NPI assigned
- Mar 19, 2007
- 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 | OP003230L | PA | Primary |
Addresses
Primary practice location
200 S Meade St
Wilkes Barre, PA 18702-6221
Mailing address
1000 Vine St
Avoca, PA 18641-1633
Phone (570) 451-0878
Other practice location 1
5 Jacquelyn Ln
Dallas, PA 18612-9107
Phone (570) 255-4578
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 |
|---|---|---|---|
| OP003230L | PA | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cip Rehabilitation Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Occupational Therapist
- Dallas, PA
- NPI 1669963039
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1545868800000",
"number": "1366566911",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 VINE ST",
"city": "AVOCA",
"state": "PA",
"postal_code": "186411633",
"telephone_number": "570-451-0878"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 S MEADE ST",
"city": "WILKES BARRE",
"state": "PA",
"postal_code": "187026221",
"telephone_number": "570-823-6131"
}
],
"practiceLocations": [
{
"address_1": "5 Jacquelyn Ln",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "PA",
"postal_code": "186129107",
"country_code": "US",
"telephone_number": "570-255-4578",
"fax_number": "570-255-4575",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OKONSKI",
"first_name": "CHARISE",
"middle_name": "M",
"credential": "COTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-19",
"last_updated": "2018-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "PA",
"license": "OP003230L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wilkes Barre, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.