Individual provider Active NPI

Nancy Cowder, OTR

  • Occupational Therapist
  • Watsontown, PA
National Provider Identifier
1629101373
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OC-006875 Issued in PA
Practice address
245 E 8TH St
Watsontown, PA 17777-1033
Phone
(570) 538-2561
Fax
(570) 538-1015
NPI assigned
Mar 13, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OC-006875 PA Primary

Addresses

Primary practice location

245 E 8TH St
Watsontown, PA 17777-1033

Mailing address

RR 2 Box 346
Sunbury, PA 17801-9545
Phone (570) 286-1869

Other names 1

  • Nancy Rudolph Former name

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

LicenseStateTypeSpecialty
OC-006875PAMDOccupational Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629101373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RR 2 BOX 346",
            "city": "SUNBURY",
            "state": "PA",
            "postal_code": "178019545",
            "telephone_number": "570-286-1869",
            "fax_number": "570-538-1015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 E 8TH ST",
            "city": "WATSONTOWN",
            "state": "PA",
            "postal_code": "177771033",
            "telephone_number": "570-538-2561",
            "fax_number": "570-538-1015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COWDER",
        "first_name": "NANCY",
        "name_prefix": "Mrs.",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC-006875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NANCY",
            "last_name": "RUDOLPH",
            "credential": "OTR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Watsontown, 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.

Verify at the official NPI Registry.