Individual provider Active NPI

Linda Jean Harris, OTR

  • Occupational Therapist
  • Easton, PA
National Provider Identifier
1760608103
Registry record updated Nov 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OC011630 Issued in PA
Practice address
2222 Sullivan TRL Ste 105
Easton, PA 18040-7958
Phone
(610) 438-2020
NPI assigned
Apr 17, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 25, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 46TA09060400 NJ
Occupational Therapy Assistant 224Z00000X OP003143L PA
Occupational Therapist 225X00000X 46TR00538900 NJ
Occupational Therapist 225X00000X OC011630 PA Primary

Addresses

Primary practice location

2222 Sullivan TRL Ste 105
Easton, PA 18040-7958

Mailing address

523 Tunnel Rd
White Haven, PA 18661-3609

Other practice location 1

99 Mulford Rd
Andover, NJ 07821
Phone (973) 383-6200 ext. 269

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Easton Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210211001237 PA Practitioner - Occupational Therapist in Private Practice 0648685313 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
46TA09060400NJMDOccupational Therapy Assistant
OP003143LPAMDOccupational Therapy Assistant
46TR00538900NJMDOccupational Therapist
OC011630PAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Healthpro Heritage Rehab & Fitness, LLC Occupational Therapist CurrentSince Jan 8, 2021 Accepting new patients
Lehigh Valley Hospital CurrentSince Aug 1, 2021 Accepting new patients
Healthpro Heritage Rehab & Fitness, LLC Occupational Therapist CurrentSince Jan 8, 2021 Accepting new patients
Lehigh Valley Hospital CurrentSince Aug 1, 2021 Accepting new patients

Locations

1503 N Cedar Crest Blvd
Allentown, PA 18104
Phone (610) 871-9110

2901 Emrick Blvd
Ste 103
Bethlehem, PA 18020
Phone (610) 625-2169

5683 Route 115
Blakeslee, PA 18610
Phone (570) 355-7100

700 Hawk Ridge Dr
Hamburg, PA 19526
Phone (610) 562-0170

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606262400000",
    "number": "1760608103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "523 TUNNEL RD",
            "city": "WHITE HAVEN",
            "state": "PA",
            "postal_code": "186613609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 SULLIVAN TRL STE 105",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180407958",
            "telephone_number": "610-438-2020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "99 MULFORD RD",
            "address_purpose": "LOCATION",
            "city": "ANDOVER",
            "state": "NJ",
            "postal_code": "07821",
            "country_code": "US",
            "telephone_number": "973-383-6200 x269",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "LINDA",
        "middle_name": "JEAN",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-17",
        "last_updated": "2020-11-25",
        "certification_date": "2020-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NJ",
            "license": "46TA09060400",
            "primary": false
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "PA",
            "license": "OP003143L",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00538900",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC011630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Easton",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2222 Sullivan Trl Ste 105",
            "city": "Easton",
            "state": "PA",
            "country_code": "US",
            "postal_code": "180407958",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Easton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.