Active NPI
Joel Hartlan Desotelle, MS OTR/L
- Pediatric Occupational Therapist
- Chambersburg, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- OC008778
- Practice address
- 111 Chambers Hill Dr Ste 101
Chambersburg, PA 17201-7304 - Phone
- (717) 709-7997
- Fax
- (717) 261-4725
- NPI assigned
- Sep 20, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 04495 | MD | |
| Neurorehabilitation Occupational Therapist | 225XN1300X | OC008778 | PA | |
| Physical Rehabilitation Occupational Therapist | 225XP0019X | OC008778 | PA | |
| Pediatric Occupational Therapist | 225XP0200X | OC008778 | PA | Primary |
Addresses
Primary practice location
111 Chambers Hill Dr Ste 101
Chambersburg, PA 17201-7304
Mailing address
111 Chambers Hill Dr Ste 200
Chambersburg, PA 17201-7304
Phone (717) 709-7922
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
111 Chambers Hill Dr
Chambersburg, PA 17201-7304
820 5TH Ave
Chambersburg, PA 17201-4219
Phone (717) 709-7999
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OC008778 | PA | MD | Neurorehabilitation Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Keystone Rural Health Center | Current | Accepting new patients | |
| Keystone Rural Health Center | Current | Accepting new patients | |
| Amber Hill Physical Therapy, Inc. | Occupational Therapist | Past | Accepting new patients |
Locations
111 Chambers Hill Dr
Ste 200
Chambersburg, PA 17201
Phone (717) 709-7900
111 Chambers Hill Dr
Ste 101
Chambersburg, PA 17201
Phone (717) 709-7997
22 St Paul Dr
Ste 200
Chambersburg, PA 17201
Phone 71770979227985
820 5th Ave
Chambersburg, PA 17201
Phone (717) 263-4313
Organizations & group practices 3
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.
-
- Federally Qualified Health Center (FQHC)
- Chambersburg, PA
- NPI 1538166905
-
- Federally Qualified Health Center (FQHC)
- Chambersburg, PA
- NPI 1992369003
-
- Physical Therapist
- Frederick, MD
- NPI 1548290224
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718928000000",
"number": "1669570883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 CHAMBERS HILL DR STE 200",
"city": "CHAMBERSBURG",
"state": "PA",
"postal_code": "172017304",
"telephone_number": "717-709-7922",
"fax_number": "717-263-2055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 CHAMBERS HILL DR STE 101",
"city": "CHAMBERSBURG",
"state": "PA",
"postal_code": "172017304",
"telephone_number": "717-709-7997",
"fax_number": "717-261-4725"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DESOTELLE",
"first_name": "JOEL",
"middle_name": "HARTLAN",
"name_prefix": "Mr.",
"credential": "MS OTR/L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2024-06-21",
"certification_date": "2024-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MD",
"license": "04495",
"primary": false
},
{
"code": "225XN1300X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Neurorehabilitation",
"state": "PA",
"license": "OC008778",
"primary": false
},
{
"code": "225XP0019X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Physical Rehabilitation",
"state": "PA",
"license": "OC008778",
"primary": false
},
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "PA",
"license": "OC008778",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chambersburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2024; 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.