Individual provider Active NPI

Emilia Lievano

  • Occupational Therapist
  • Springfield, PA
National Provider Identifier
1770177974
Registry record updated Feb 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OC010187 Issued in PA
Practice address
190 W Sproul Rd
Springfield, PA 19064-2027
Phone
(610) 328-8828
Fax
(610) 338-2717
NPI assigned
Feb 27, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OC010187 PA Primary

Addresses

Primary practice location

190 W Sproul Rd
Springfield, PA 19064-2027

Mailing address

190 W Sproul Rd
Springfield, PA 19064-2097
Phone (610) 328-8828

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

LicenseStateTypeSpecialty
OC010187PAMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1614384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614384000000",
    "number": "1770177974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 W SPROUL RD",
            "city": "SPRINGFIELD",
            "state": "PA",
            "postal_code": "190642097",
            "telephone_number": "610-328-8828",
            "fax_number": "610-338-2717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 W SPROUL RD",
            "city": "SPRINGFIELD",
            "state": "PA",
            "postal_code": "190642027",
            "telephone_number": "610-328-8828",
            "fax_number": "610-338-2717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIEVANO",
        "first_name": "EMILIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-27",
        "last_updated": "2021-02-27",
        "certification_date": "2021-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC010187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2021; 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.