Active NPI
Kelly Lieb, OTR/L
- Occupational Therapist
- Bedford, PA
National Provider Identifier
1760567945
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OC009259
- Practice address
- 136 Donahue Manor Rd
Bedford, PA 15522-9728 - Phone
- (814) 623-9075
- Fax
- (814) 623-7336
- NPI assigned
- Oct 26, 2006
- 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 Therapist | 225X00000X | OC009259 | PA | Primary |
Addresses
Primary practice location
136 Donahue Manor Rd
Bedford, PA 15522-9728
Mailing address
1664 Princeton Rd
Altoona, PA 16602-7449
Phone (814) 623-9075
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 |
|---|---|---|---|
| OC009259 | PA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1760567945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1664 PRINCETON RD",
"city": "ALTOONA",
"state": "PA",
"postal_code": "166027449",
"telephone_number": "814-623-9075",
"fax_number": "814-623-7336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "136 DONAHUE MANOR RD",
"city": "BEDFORD",
"state": "PA",
"postal_code": "155229728",
"telephone_number": "814-623-9075",
"fax_number": "814-623-7336"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIEB",
"first_name": "KELLY",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "PA",
"license": "OC009259",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bedford, 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.