Active NPI
Linda Pannabecker
- Occupational Therapy Assistant
- Wyomissing, PA
National Provider Identifier
1760937882
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- OP007911
- Practice address
- 1800 Tulpehocken Rd
Wyomissing, PA 19610-1240 - Phone
- (610) 478-0402
- NPI assigned
- Aug 18, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 | OP007911 | PA | Primary |
Addresses
Primary practice location
1800 Tulpehocken Rd
Wyomissing, PA 19610-1240
Mailing address
41 Penny LN
Bernville, PA 19506-9538
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 |
|---|---|---|---|
| OP007911 | PA | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471478400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1471478400000",
"number": "1760937882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41 PENNY LN",
"city": "BERNVILLE",
"state": "PA",
"postal_code": "195069538"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 TULPEHOCKEN RD",
"city": "WYOMISSING",
"state": "PA",
"postal_code": "196101240",
"telephone_number": "610-478-0402"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PANNABECKER",
"first_name": "LINDA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-08-18",
"last_updated": "2016-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "PA",
"license": "OP007911",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wyomissing, PA
- Pagoda Dental Group of Wyomissing, PLLC
- Pain Management Physicians, LLC
- Pain Management Physicians, LLC
- April E Palmer, NP-C
- Helen Marie A Palumbo, LMSW
- Maria Pantelakis, PHARMD
- Metaxia Elizabeth Papademetriou, MA, LPC
- Agoristsa Papadopoulos
- Paragon Behavioral Health Services, LLC
- David C Parenti, LMFT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.