Active NPI
Ashley Krome, COTA
- Occupational Therapy Assistant
- Bangor, PA
National Provider Identifier
1578780458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- OP006331
- Practice address
- 701 Slate Belt Blvd
Bangor, PA 18013-9341 - Phone
- (610) 599-1454
- NPI assigned
- Apr 20, 2007
- 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 |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 46TA09065700 | NJ | |
| Occupational Therapy Assistant | 224Z00000X | OP006331 | PA | Primary |
Addresses
Primary practice location
701 Slate Belt Blvd
Bangor, PA 18013-9341
Mailing address
149 Rutt Rd
Bangor, PA 18013-9603
Other names 1
- Ashley Mellert
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 |
|---|---|---|---|
| 46TA09065700 | NJ | MD | Occupational Therapy Assistant |
| OP006331 | PA | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1384387200000",
"number": "1578780458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "149 RUTT RD",
"city": "BANGOR",
"state": "PA",
"postal_code": "180139603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 SLATE BELT BLVD",
"city": "BANGOR",
"state": "PA",
"postal_code": "180139341",
"telephone_number": "610-599-1454"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KROME",
"first_name": "ASHLEY",
"credential": "COTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-20",
"last_updated": "2013-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "NJ",
"license": "46TA09065700",
"primary": false
},
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "PA",
"license": "OP006331",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ASHLEY",
"last_name": "MELLERT",
"credential": "COTA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Bangor, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.