Individual provider Active NPI

Alicia A Rhodes

  • Occupational Therapy Assistant
  • Danville, PA
National Provider Identifier
1689266769
Registry record updated Feb 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
OP009913 Issued in PA
Practice address
78 Woodbine LN
Danville, PA 17821-8020
Phone
(570) 275-5240
NPI assigned
Feb 9, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X OP009913 PA Primary

Addresses

Primary practice location

78 Woodbine LN
Danville, PA 17821-8020

Mailing address

78 Woodbine LN
Danville, PA 17821-8020
Phone (570) 275-5240

Other practice location 1

2616 W Third Street
Mount Carmel, PA 17852
Phone (570) 339-2501

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
OP009913PAMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1612828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612828800000",
    "number": "1689266769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78 WOODBINE LN",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178218020",
            "telephone_number": "570-275-5240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78 WOODBINE LN",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178218020",
            "telephone_number": "570-275-5240"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2616 W THIRD STREET",
            "address_purpose": "LOCATION",
            "city": "MOUNT CARMEL",
            "state": "PA",
            "postal_code": "17852",
            "country_code": "US",
            "telephone_number": "570-339-2501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RHODES",
        "first_name": "ALICIA",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-09",
        "last_updated": "2021-02-09",
        "certification_date": "2021-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "PA",
            "license": "OP009913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2021; 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.