Active NPI
Holly Deantonio, OT
- Occupational Therapist
- Harrisburg, PA
National Provider Identifier
1528090289
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OC004751L
- Practice address
- 409 S 2ND St
Suite 3F
Harrisburg, PA 17104-1612 - Phone
- (717) 230-3459
- Fax
- (717) 230-3411
- NPI assigned
- Jul 6, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OC004751L | PA | Primary |
Addresses
Primary practice location
409 S 2ND St
Suite 3F
Harrisburg, PA 17104-1612
Mailing address
2645 N 3Rd St
Harrisburg, PA 17110-2001
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OC004751L | Other | PA | LICENSE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| OC004751L | PA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1528090289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2645 N 3RD ST",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "171102001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "409 S 2ND ST",
"address_2": "SUITE 3F",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "171041612",
"telephone_number": "717-230-3459",
"fax_number": "717-230-3411"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEANTONIO",
"first_name": "HOLLY",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "PA",
"license": "OC004751L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "OC004751L",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Harrisburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.