Active NPI
Khyla Marilyn Fritz, COTA, BT
- Occupational Therapy Assistant
- Pittston, PA
National Provider Identifier
1487301495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- OP009993
- Practice address
- 1081 Oak St # 3
Pittston, PA 18640-3716 - Phone
- (888) 726-4774
- NPI assigned
- Mar 9, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | |||
| Occupational Therapy Assistant | 224Z00000X | OP009993 | PA | Primary |
Addresses
Primary practice location
1081 Oak St # 3
Pittston, PA 18640-3716
Mailing address
12 Fairview Park
Mountain Top, PA 18707-1312
Phone (570) 262-5924
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
- Bachelor of Theology
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OP009993 | PA | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646784000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646784000000",
"number": "1487301495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 FAIRVIEW PARK",
"city": "MOUNTAIN TOP",
"state": "PA",
"postal_code": "187071312",
"telephone_number": "570-262-5924"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1081 OAK ST # 3",
"city": "PITTSTON",
"state": "PA",
"postal_code": "186403716",
"telephone_number": "888-726-4774"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRITZ",
"first_name": "KHYLA",
"middle_name": "MARILYN",
"credential": "COTA, BT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-09",
"last_updated": "2022-03-09",
"certification_date": "2022-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "PA",
"license": "OP009993",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pittston, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.