Active NPI
Kristine A Fell, OTR
- Occupational Therapist
- Forest City, PA
National Provider Identifier
1790841252
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OC0067841
- Practice address
- 354 Main St
Forest City, PA 18421-1418 - Phone
- (570) 785-2018
- Fax
- (570) 785-2061
- NPI assigned
- Dec 29, 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 | OC0067841 | PA | Primary |
Addresses
Primary practice location
354 Main St
Forest City, PA 18421-1418
Mailing address
RR #1 Box 1368
Maple Grove Rd
Moscow, PA 18444
Phone (570) 689-2542
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 914865 | Other | PA | BLUE SHIELD |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OC0067841 | PA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1790841252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "RR #1 BOX 1368",
"address_2": "MAPLE GROVE RD",
"city": "MOSCOW",
"state": "PA",
"postal_code": "18444",
"telephone_number": "570-689-2542"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "354 MAIN ST",
"city": "FOREST CITY",
"state": "PA",
"postal_code": "184211418",
"telephone_number": "570-785-2018",
"fax_number": "570-785-2061"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FELL",
"first_name": "KRISTINE",
"middle_name": "A",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "PA",
"license": "OC0067841",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "914865",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Forest City, PA
- Paul W Cosby, MD
- David R. Tomazic, D.O., LLC
- Rebecca J Defrancesco, DPT
- Electric City Dental Group
- Fcnrc, LP
- Penny Jayne Ford, L.P.N
- Forest City Area Emergency Services Inc
- Forest City Area Volunteer Ambulance Association
- Forest City Care Continuum LLC
- Forest City Center for Nursing and Rehabilitation LLC
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.