Cheryl Fong, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OC017629 Issued in PA

Practice address

1425 Megan Dr
State College, PA 16803-3168

Phone

(814) 321-1015

NPI assigned

Jul 23, 2021

Last updated

Jul 23, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Chinese Culture and Community Service Center IncGroup PAC ID 2264776723, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Chinese Culture and Community Service Center, Inc.

  dba Pan Asian Volunteer Health Clinic

  • Primary Care Clinic/Center
  • Gaithersburg, MD
  • NPI 1033509591

  DC

  Medicare reassignment Care Compare group NPD
• Chinese Culture and Community Service Center, Inc.

  • Occupational Therapist
  • Gaithersburg, MD
  • NPI 1891328563
  NPD
• Chinese Culture and Community Services Center, Inc.

  dba CCACC Home Care

  • In Home Supportive Care Agency
  • Gaithersburg, MD
  • NPI 1164807020
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1626998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626998400000",
    "number": "1407429749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 MEGAN DR",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168033168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 MEGAN DR",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168033168",
            "telephone_number": "814-321-1015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONG",
        "first_name": "CHERYL",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-23",
        "last_updated": "2021-07-23",
        "certification_date": "2021-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC017629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chad Martin Fluth, OD
• Karen Lighton Foard, M.ED., IBCLC
• Patricia Ann Fogelman, DNP, CRNP
• Kiley Parry Foley, M.ED, LPC
• Tessa Folino, RN
• Rachael Ann Fornwalt, CRNP
• Marceline Forstmeier, LAPC
• Electra Lelia Foster, M.D.
• Neil F. Foster, RPH
• Wayne Howard Foster, RPH

• Occupational Therapist in State College, PA
• Providers in State College, PA by specialty
• Occupational Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.