Active NPI
Gina Lehotsky
- Behavior Technician
- Willow Grove, PA
National Provider Identifier
1649827080
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-19-86146
- Practice address
- 630 Fitzwatertown Rd Ste A2
Willow Grove, PA 19090-1928 - Phone
- (877) 933-9932
- NPI assigned
- Aug 21, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-19-86146 | PA | Primary |
Addresses
Primary practice location
630 Fitzwatertown Rd Ste A2
Willow Grove, PA 19090-1928
Mailing address
583 Shoemaker Rd Ste 230
King of Prussia, PA 19406-4238
Phone (484) 681-2170
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 |
|---|---|---|---|
| RBT-19-86146 | PA | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566345600000",
"number": "1649827080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "583 SHOEMAKER RD STE 230",
"city": "KING OF PRUSSIA",
"state": "PA",
"postal_code": "194064238",
"telephone_number": "484-681-2170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "630 FITZWATERTOWN RD STE A2",
"city": "WILLOW GROVE",
"state": "PA",
"postal_code": "190901928",
"telephone_number": "877-933-9932"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEHOTSKY",
"first_name": "GINA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-21",
"last_updated": "2019-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "PA",
"license": "RBT-19-86146",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Willow Grove, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.