Active NPI
Rosalind Marcia Mishkin, OTR
- Occupational Therapist
- Philadelphia, PA
National Provider Identifier
1538389143
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OC001007L
- Practice address
- 1630 W Girard Ave
Philadelphia, PA 19130-1615 - Phone
- (215) 787-9367
- NPI assigned
- Apr 26, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | OC001007L | PA | Primary |
Addresses
Primary practice location
1630 W Girard Ave
Philadelphia, PA 19130-1615
Mailing address
1576 Willow Pond Dr
Yardley, PA 19067-5796
Phone (215) 369-3284
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 |
|---|---|---|---|
| OC001007L | PA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1538389143",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1576 WILLOW POND DR",
"city": "YARDLEY",
"state": "PA",
"postal_code": "190675796",
"telephone_number": "215-369-3284"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1630 W GIRARD AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191301615",
"telephone_number": "215-787-9367"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MISHKIN",
"first_name": "ROSALIND",
"middle_name": "MARCIA",
"credential": "OTR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "PA",
"license": "OC001007L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, 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.