Individual provider Active NPI

Bethany Lauren Stroup, OTR/L

  • Occupational Therapist
  • Muncy, PA
National Provider Identifier
1649672833
Registry record updated Sep 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OC013524 Issued in PA
Practice address
215 E. Water St.
Genesis Rehabilitation Services, Susquehanna Health
Muncy, PA 17756
Phone
(570) 546-4032
NPI assigned
Sep 19, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2014

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 OC013524 PA Primary

Addresses

Primary practice location

215 E. Water St.
Genesis Rehabilitation Services, Susquehanna Health
Muncy, PA 17756

Mailing address

215 E. Water St.
Genesis Rehabilitation Services, Susquehanna Health
Muncy, PA 17756
Phone (570) 546-4032

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
OC013524PAMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1411084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411084800000",
    "number": "1649672833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 E. WATER ST.",
            "address_2": "GENESIS REHABILITATION SERVICES, SUSQUEHANNA HEALTH",
            "city": "MUNCY",
            "state": "PA",
            "postal_code": "17756",
            "telephone_number": "570-546-4032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 E. WATER ST.",
            "address_2": "GENESIS REHABILITATION SERVICES, SUSQUEHANNA HEALTH",
            "city": "MUNCY",
            "state": "PA",
            "postal_code": "17756",
            "telephone_number": "570-546-4032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STROUP",
        "first_name": "BETHANY",
        "middle_name": "LAUREN",
        "name_prefix": "Ms.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-19",
        "last_updated": "2014-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC013524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Muncy, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2014; 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.