Individual provider Active NPI

Denise Cargan, COTA/L

  • Occupational Therapy Assistant
  • Glen Mills, PA
National Provider Identifier
1457750283
Registry record updated Aug 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
OP007696 Issued in PA
Practice address
9 Lacrue Ave Ste 103
Glen Mills, PA 19342-1062
Phone
(484) 840-1529
NPI assigned
Aug 18, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2014

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 OP007696 PA Primary

Addresses

Primary practice location

9 Lacrue Ave Ste 103
Glen Mills, PA 19342-1062

Mailing address

607 Bickmore Dr
Wallingford, PA 19086-6808
Phone (610) 742-9730

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
OP007696PAMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
A Total Approach 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.

NPI Registry JSON

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

{
    "created_epoch": "1408320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408320000000",
    "number": "1457750283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 BICKMORE DR",
            "city": "WALLINGFORD",
            "state": "PA",
            "postal_code": "190866808",
            "telephone_number": "610-742-9730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 LACRUE AVE STE 103",
            "city": "GLEN MILLS",
            "state": "PA",
            "postal_code": "193421062",
            "telephone_number": "484-840-1529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARGAN",
        "first_name": "DENISE",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-18",
        "last_updated": "2014-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "PA",
            "license": "OP007696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Mills, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2014; 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.