Pang Kou Pha

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OP008479 Issued in PA

Practice address

450 Philadelphia Ave
Shillington, PA 19607-2731

Phone

(610) 796-1600

NPI assigned

May 22, 2017

Sex

Female

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1495411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1495411200000",
    "number": "1730616616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 HOMESTEAD DR",
            "city": "DENVER",
            "state": "PA",
            "postal_code": "175179173",
            "telephone_number": "717-847-1161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 PHILADELPHIA AVE",
            "city": "SHILLINGTON",
            "state": "PA",
            "postal_code": "196072731",
            "telephone_number": "610-796-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHA",
        "first_name": "PANG",
        "middle_name": "KOU",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-22",
        "last_updated": "2017-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "PA",
            "license": "OP008479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew W Parks, DMD
• Dipak Patel
• Awilda Pedraza
• Pennsylvania CVS Pharmacy, L.L.C.
• Joyce Perella, OTRL
• Philadelphia Avenue Associates
• Philadelphia Avenue Associates
• Andrew C Piazza, D.C.
• Dorothy Putnam-Baker, LCSW
• Shelby Nicole Rader

• Occupational Therapy Assistant in Shillington, PA
• Providers in Shillington, PA by specialty
• Occupational Therapy Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2017; 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.