Active NPI
Kathleen Anne Stock, MS OTRL
- Occupational Therapist
- Pipersville, PA
National Provider Identifier
1366659138
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OC005975L
- Practice address
- 5468 Geddes Way
Pipersville, PA 18947-1162 - Phone
- (215) 766-0202
- NPI assigned
- May 17, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | OC005975L | PA | Primary |
Addresses
Primary practice location
5468 Geddes Way
Pipersville, PA 18947-1162
Mailing address
5468 Geddes Way
Pipersville, PA 18947-1162
Phone (215) 766-0202
Other names 1
- Kathleen Anne Otoole
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OC005975L | PA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1366659138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5468 GEDDES WAY",
"city": "PIPERSVILLE",
"state": "PA",
"postal_code": "189471162",
"telephone_number": "215-766-0202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5468 GEDDES WAY",
"city": "PIPERSVILLE",
"state": "PA",
"postal_code": "189471162",
"telephone_number": "215-766-0202"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOCK",
"first_name": "KATHLEEN",
"middle_name": "ANNE",
"credential": "MS OTRL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "PA",
"license": "OC005975L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KATHLEEN",
"last_name": "OTOOLE",
"middle_name": "ANNE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Pipersville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.