Individual provider Active NPI

Micah Wolf, OT

  • Occupational Therapist
  • Carlisle, PA
National Provider Identifier
1699597328
Registry record updated Oct 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OC020394 Issued in PA
Practice address
250 Alexander Spring Rd
Carlisle, PA 17015-6956
Phone
(717) 980-3568
NPI assigned
Oct 24, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2024

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 OC020394 PA Primary

Addresses

Primary practice location

250 Alexander Spring Rd
Carlisle, PA 17015-6956

Mailing address

3399 Trindle Rd
Camp Hill, PA 17011-4407

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241106001086 PA Practitioner - Occupational Therapist in Private Practice 8224562707 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopedic Surgeons LTDGroup PAC ID 4385535244, 92 clinicians

Practice addresses (Care Compare)

250 Alexander Spring Rd
FL 2
Carlisle, PA 17015-6956
Phone (717) 920-2620

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic Surgeons LTD Occupational Therapist Current Accepting new patients
Orthopedic Surgeons LTD Occupational Therapist CurrentSince Oct 25, 2024 Accepting new patients
Orthopedic Surgeons LTD Occupational Therapist CurrentSince Oct 25, 2024 Accepting new patients

Locations

3399 Trindle Rd
Camp Hill, PA 17011
Phone (717) 901-4236

250 Alexander Spring Rd
Fl 2
Carlisle, PA 17015
Phone (717) 920-2620

250 Alexander Spring Rd
Carlisle, PA 17015
Phone (717) 837-5481

450 Powers Ave
Lower Paxton, PA 17109
Phone (717) 615-1409

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.

NPI Registry JSON

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

{
    "created_epoch": "1729728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729728000000",
    "number": "1699597328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3399 TRINDLE RD",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170114407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 ALEXANDER SPRING RD",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170156956",
            "telephone_number": "717-980-3568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLF",
        "first_name": "MICAH",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-10-24",
        "last_updated": "2024-10-24",
        "certification_date": "2024-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC020394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlisle, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.

Verify at the official NPI Registry.