Active NPI
Cindy Ann Duckworth, OTR/L
- Occupational Therapist
- West Grove, PA
National Provider Identifier
1720239270
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OC010238
- Practice address
- 212 China Cir
West Grove, PA 19390-8813 - Phone
- (484) 432-1614
- NPI assigned
- Oct 2, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | |||
| Occupational Therapist | 225X00000X | OC010238 | PA | Primary |
Addresses
Primary practice location
212 China Cir
West Grove, PA 19390-8813
Mailing address
212 China Cir
West Grove, PA 19390-8813
Phone (484) 432-1614
Other practice location 1
1 N Belfield Ave
Havertown, PA 19083-4904
Phone (610) 449-1600 ext. 113
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cindy@bloomandgrowtherapy.com | Direct |
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 |
|---|---|---|---|
| OC010238 | PA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cindy Duckworth, OT Inc | Pediatrics | Current | Accepting new patients |
| Bloom and Grow Early Intervention LLC | Occupational Therapist | Current | Accepting new patients |
Locations
148 W State St
Ste 103
Kennett Square, PA 19348
Phone (484) 432-1614
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Occupational Therapist
- Kennett Square, PA
- NPI 1164180097
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601251200000",
"number": "1720239270",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "212 CHINA CIR",
"city": "WEST GROVE",
"state": "PA",
"postal_code": "193908813",
"telephone_number": "484-432-1614"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "212 CHINA CIR",
"city": "WEST GROVE",
"state": "PA",
"postal_code": "193908813",
"telephone_number": "484-432-1614"
}
],
"practiceLocations": [
{
"address_1": "1 N Belfield Ave",
"address_purpose": "LOCATION",
"city": "Havertown",
"state": "PA",
"postal_code": "190834904",
"country_code": "US",
"telephone_number": "610-449-1600 x113",
"fax_number": "610-449-2655",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DUCKWORTH",
"first_name": "CINDY",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-10-02",
"last_updated": "2020-09-28",
"certification_date": "2020-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": null,
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "PA",
"license": "OC010238",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cindy@bloomandgrowtherapy.com",
"affiliation": "N",
"endpointDescription": "business email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "212 China Cir",
"city": "West Grove",
"state": "PA",
"country_code": "US",
"postal_code": "193908813",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in West Grove, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.