Timothy Flynn, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OC012387 Issued in PA

Practice address

200 Berwick Rd
Orangeville, PA 17859

Phone

(570) 683-5036

NPI assigned

Jun 8, 2012

Last updated

Oct 1, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1339113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569888000000",
    "number": "1730441452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 MARIA DR",
            "city": "HANOVER TOWNSHIP",
            "state": "PA",
            "postal_code": "187065404",
            "telephone_number": "908-240-1421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 BERWICK RD",
            "city": "ORANGEVILLE",
            "state": "PA",
            "postal_code": "17859",
            "telephone_number": "570-683-5036"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "430 N Krocks Rd",
            "address_purpose": "LOCATION",
            "city": "Allentown",
            "state": "PA",
            "postal_code": "181069267",
            "country_code": "US",
            "telephone_number": "610-841-1831",
            "fax_number": "610-841-1915",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "430 N Krocks Rd",
            "address_purpose": "LOCATION",
            "city": "Allentown",
            "state": "PA",
            "postal_code": "181069267",
            "country_code": "US",
            "telephone_number": "610-841-1831",
            "fax_number": "610-841-1915",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLYNN",
        "first_name": "TIMOTHY",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-08",
        "last_updated": "2019-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC012387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Occupational Therapist in Orangeville, PA
• Providers in Orangeville, PA by specialty
• Occupational Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2019; 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.