Individual provider Active NPI

Kolby Dallas Engel

  • Occupational Therapist
  • Littlestown, PA
National Provider Identifier
1629925326
Registry record updated Mar 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OC021418 Issued in PA
Practice address
790 W King St Ste 1
Littlestown, PA 17340-1457
Phone
(717) 359-1928
Fax
(717) 359-1929
NPI assigned
Mar 12, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2026

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 OC021418 PA Primary

Addresses

Primary practice location

790 W King St Ste 1
Littlestown, PA 17340-1457

Mailing address

2122 York Rd Ste 300
Oak Brook, IL 60523-1925
Phone (570) 550-0168

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, DC, MD3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20260408001676 PA Practitioner - Occupational Therapist in Private Practice 0244705119 Reassigns benefits to 1 organization
I20260423001011 DC Practitioner - Occupational Therapist in Private Practice 0244705119 Reassigns benefits to 1 organization
I20260423001054 MD Practitioner - Occupational Therapist in Private Practice 0244705119 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pivot Physical Therapy of Pennsylvania LLCGroup PAC ID 4981971843, 123 clinicians
Maryland Sportscare and Rehab LLCGroup PAC ID 2860440427, 166 clinicians

Practice addresses (Care Compare)

790 W King St
Suite 1
Littlestown, PA 17340-1457
Phone (717) 359-1928

844 Washington Rd
Suite 101
Westminster, MD 21157-6664
Phone (410) 876-5600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OC021418PAMDOccupational Therapist

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1773273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774569600000",
    "number": "1629925326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2122 YORK RD STE 300",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231925",
            "telephone_number": "570-550-0168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 W KING ST STE 1",
            "city": "LITTLESTOWN",
            "state": "PA",
            "postal_code": "173401457",
            "telephone_number": "717-359-1928",
            "fax_number": "717-359-1929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENGEL",
        "first_name": "KOLBY",
        "middle_name": "DALLAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-03-12",
        "last_updated": "2026-03-27",
        "certification_date": "2026-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC021418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Littlestown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.