Individual provider Active NPI

Pamela Brant, MA

  • Hand Occupational Therapist
  • New Milford, PA
National Provider Identifier
1457423394
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
OC005531L Issued in PA
Practice address
693 Main St Ste 2
New Milford, PA 18834-7200
Phone
(570) 465-2027
Fax
(570) 465-2028
NPI assigned
Nov 15, 2006
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Occupational Therapist 225XH1200X 006833 NY
Hand Occupational Therapist 225XH1200X OC005531L PA Primary

Addresses

Primary practice location

693 Main St Ste 2
New Milford, PA 18834-7200

Mailing address

RR# 2 Box 172
Susquehanna, PA 18847
Phone (607) 729-0044

Other practice location 1

174 Oakdale Rd
Johnson City, NY 13790-1049
Phone (607) 729-0044

Other identifiers 1

IdentifierTypeStateIssuer
02638439MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160324000194 PA Practitioner - Occupational Therapist in Private Practice 7012980766 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dylan RC Enterprises IncGroup PAC ID 7315396231, 6 clinicians

Practice addresses (Care Compare)

693 Main St
New Milford, PA 18834-7200
Phone (570) 465-2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Steffie Enterprises, Inc CurrentSince Nov 1, 2023 Accepting new patients
Derek Enterprises LLC CurrentSince Nov 1, 2023 Accepting new patients
Dylan RC Enterprises Inc CurrentSince Nov 1, 2023 Accepting new patients
Alycam Inc CurrentSince Nov 1, 2023 Accepting new patients

Locations

220 E Center Hill Rd
Dallas, PA 18612
Phone (570) 675-2300

87 Oxford St
Hanover Township, PA 18706
Phone (570) 387-2202

693 Main St
New Milford, PA 18834
Phone (570) 465-2027

693 Main St
#2
New Milford, PA 18834
Phone (570) 465-2027

106 Rotary Dr
West Hazleton, PA 18202
Phone (570) 455-2286

1086 Highway 315 Blvd
Wilkes Barre, PA 18702
Phone (570) 823-7761

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1457423394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RR# 2 BOX 172",
            "city": "SUSQUEHANNA",
            "state": "PA",
            "postal_code": "18847",
            "telephone_number": "607-729-0044",
            "fax_number": "607-729-9994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "693 MAIN ST STE 2",
            "city": "NEW MILFORD",
            "state": "PA",
            "postal_code": "188347200",
            "telephone_number": "570-465-2027",
            "fax_number": "570-465-2028"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "174 Oakdale Rd",
            "address_purpose": "LOCATION",
            "city": "Johnson City",
            "state": "NY",
            "postal_code": "137901049",
            "country_code": "US",
            "telephone_number": "607-729-0044",
            "fax_number": "607-729-9994",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRANT",
        "first_name": "PAMELA",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-15",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "NY",
            "license": "006833",
            "primary": false
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "PA",
            "license": "OC005531L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02638439",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Milford, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.