Active NPI
Virginia Frances Vanderpool
- Occupational Therapy Assistant
- Towanda, PA
National Provider Identifier
1760525927
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 22211254
- Practice address
- 1 Hospital Dr
Towanda, PA 18848-9710 - Phone
- (570) 265-2191
- Fax
- (570) 268-2379
- NPI assigned
- Feb 15, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 22211254 | PA | Primary |
Addresses
Primary practice location
1 Hospital Dr
Towanda, PA 18848-9710
Mailing address
1 Hospital Dr
Towanda, PA 18848-9710
Phone (570) 265-2191
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 22211254 | Other | PA | LICENSE NUMBER |
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 |
|---|---|---|---|
| 22211254 | PA | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1760525927",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 HOSPITAL DR",
"city": "TOWANDA",
"state": "PA",
"postal_code": "188489710",
"telephone_number": "570-265-2191",
"fax_number": "570-268-2379"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 HOSPITAL DR",
"city": "TOWANDA",
"state": "PA",
"postal_code": "188489710",
"telephone_number": "570-265-2191",
"fax_number": "570-268-2379"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANDERPOOL",
"first_name": "VIRGINIA",
"middle_name": "FRANCES",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "PA",
"license": "22211254",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "22211254",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Towanda, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.