Individual provider Active NPI

Reuben S Balasundram, OTR/L, ATP, CAPS

  • Occupational Therapist
  • Mechanicsburg, PA
National Provider Identifier
1497996268
Registry record updated May 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OC008552 Issued in PA
Practice address
6 S Madder Dr
Mechanicsburg, PA 17050-7954
Phone
(717) 791-0513
Fax
(717) 918-2020
NPI assigned
Mar 9, 2009
Last updated
May 15, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2009

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

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Assistive Technology Practitioner Rehabilitation Counselor 225CA2400X PA
Orientation and Mobility Training Rehabilitation Counselor 225CX0006X PA
Occupational Therapist 225X00000X OC008552 PA Primary
Environmental Modification Occupational Therapist 225XE0001X OC008552 PA
Feeding, Eating & Swallowing Occupational Therapist 225XF0002X OC008552 PA
Gerontology Occupational Therapist 225XG0600X OC008552 PA
Neurorehabilitation Occupational Therapist 225XN1300X OC008552 PA
Physical Rehabilitation Occupational Therapist 225XP0019X OC008552 PA
Driving and Community Mobility Occupational Therapist 225XR0403X OC008552 PA

Addresses

Primary practice location

6 S Madder Dr
Mechanicsburg, PA 17050-7954

Mailing address

6 S Madder Dr
Mechanicsburg, PA 17050-7954
Phone (717) 791-0513

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
OC008552PAMDPhysical Rehabilitation Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Drayer Physical Therapy Institute LLC Occupational Therapist Past Accepting new patients
Ican Ability Specialists, Inc Assistive Technology Practitioner PastSince Apr 1, 2009 Accepting new patients

Organizations & group practices 2

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": "1236556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242345600000",
    "number": "1497996268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 S MADDER DR",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170507954",
            "telephone_number": "717-791-0513",
            "fax_number": "717-918-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 S MADDER DR",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170507954",
            "telephone_number": "717-791-0513",
            "fax_number": "717-918-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALASUNDRAM",
        "first_name": "REUBEN",
        "middle_name": "S",
        "credential": "OTR/L, ATP, CAPS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-09",
        "last_updated": "2009-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225CA2400X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Counselor, Assistive Technology Practitioner",
            "state": "PA",
            "license": null,
            "primary": false
        },
        {
            "code": "225CX0006X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Counselor, Orientation and Mobility Training Provider",
            "state": "PA",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC008552",
            "primary": true
        },
        {
            "code": "225XE0001X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Environmental Modification",
            "state": "PA",
            "license": "OC008552",
            "primary": false
        },
        {
            "code": "225XF0002X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Feeding, Eating & Swallowing",
            "state": "PA",
            "license": "OC008552",
            "primary": false
        },
        {
            "code": "225XG0600X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Gerontology",
            "state": "PA",
            "license": "OC008552",
            "primary": false
        },
        {
            "code": "225XN1300X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Neurorehabilitation",
            "state": "PA",
            "license": "OC008552",
            "primary": false
        },
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "PA",
            "license": "OC008552",
            "primary": false
        },
        {
            "code": "225XR0403X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Driving and Community Mobility",
            "state": "PA",
            "license": "OC008552",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mechanicsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2009; 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.