Individual provider Active NPI

Charise M Okonski, COTA

  • Occupational Therapy Assistant
  • Wilkes Barre, PA
National Provider Identifier
1366566911
Registry record updated Dec 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
OP003230L Issued in PA
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

Updated by the provider on Dec 27, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
OP003230LPAMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Cip Rehabilitation Inc PastSince May 9, 2018 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.

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.

Verify at the official NPI Registry.