NPIMap

Organization Active NPI

Ican Ability Specialists, Inc

  • Occupational Therapist
  • Mechanicsburg, PA
National Provider Identifier
1730332230
Registry record updated Jul 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OC008552 Issued in PA
Legal business name
ICAN ABILITY SPECIALISTS, INC
Practice address
5130 E Trindle Rd
Mechanicsburg, PA 17050-3685
Phone
(717) 620-8109
Fax
(717) 918-2020
NPI assigned
Oct 28, 2008
Last updated
Jul 17, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2010

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

Authorized official

Name
Mr. Reuben Selvadas Balasundram, OTR/L, ATP, CAPSNPI 1497996268
Title
President, Treasurer, Secretary
Phone
(717) 620-8109

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 11

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X 020070 PA
Physical Therapist 225100000X PT020070 PA
Physical Therapist 225100000X PT018260 PA
Assistive Technology Practitioner Rehabilitation Counselor 225CA2400X
Occupational Therapist 225X00000X OC008552 PA Primary
Neurorehabilitation Occupational Therapist 225XN1300X
Gerontology Occupational Therapist 225XG0600X
Physical Rehabilitation Occupational Therapist 225XP0019X
Environmental Modification Occupational Therapist 225XE0001X
Feeding, Eating & Swallowing Occupational Therapist 225XF0002X
Orientation and Mobility Training Rehabilitation Counselor 225CX0006X

Addresses

Primary practice location

5130 E Trindle Rd
Mechanicsburg, PA 17050-3685

Mailing address

6 S Madder Dr
Mechanicsburg, PA 17050-7954
Phone (717) 620-8109

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279324800000",
    "number": "1730332230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 S MADDER DR",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170507954",
            "telephone_number": "717-620-8109",
            "fax_number": "717-918-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5130 E TRINDLE RD",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170503685",
            "telephone_number": "717-620-8109",
            "fax_number": "717-918-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ICAN ABILITY SPECIALISTS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-28",
        "last_updated": "2010-07-17",
        "status": "A",
        "authorized_official_last_name": "BALASUNDRAM",
        "authorized_official_first_name": "REUBEN",
        "authorized_official_middle_name": "SELVADAS",
        "authorized_official_title_or_position": "PRESIDENT, TREASURER, SECRETARY",
        "authorized_official_telephone_number": "717-620-8109",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OTR/L, ATP, CAPS"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "PA",
            "license": "020070",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT020070",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT018260",
            "primary": false
        },
        {
            "code": "225CA2400X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Counselor, Assistive Technology Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC008552",
            "primary": true
        },
        {
            "code": "225XN1300X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Neurorehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XG0600X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Gerontology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XE0001X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Environmental Modification",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XF0002X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Feeding, Eating & Swallowing",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225CX0006X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Counselor, Orientation and Mobility Training Provider",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mechanicsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2010; 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.