Individual provider Active NPI

Kenton Robert Sitch, OTR/L

  • Physical Rehabilitation Occupational Therapist
  • MC Connellsburg, PA
National Provider Identifier
1801044813
Registry record updated Mar 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Rehabilitation Occupational TherapistTaxonomy code 225XP0019X
License
OC011749 Issued in PA
Practice address
214 Peach Orchard Rd
MC Connellsburg, PA 17233-8559
Phone
(717) 485-3155
NPI assigned
Sep 3, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 06164 MD
Physical Rehabilitation Occupational Therapist 225XP0019X OC011749 PA Primary

Addresses

Primary practice location

214 Peach Orchard Rd
MC Connellsburg, PA 17233-8559

Mailing address

214 Peach Orchard Rd
MC Connellsburg, PA 17233-8559
Phone (717) 485-3155

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160705000042 PA Practitioner - Occupational Therapist in Private Practice 7517035405 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
06164MDMDPediatric Dentist
OC011749PAMDPhysical Rehabilitation Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fulton County Medical Center Current Accepting new patients
Fulton County Medical Center CurrentSince Jun 1, 2016 Accepting new patients
Fulton County Medical Center CurrentSince Jun 1, 2016 Accepting new patients
Tristate Hand and Occupational Therapy Inc Occupational Therapist Past Accepting new patients
Fulton County Medical Center Past Accepting new patients

Locations

622 Water St
Orbisonia, PA 17243
Phone (814) 447-3062

Organizations & group practices 8

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.

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fulton County Medical Center 27 clinicians

Practice addresses (Care Compare)

622 Water St
FCMC Rehab SVC Hun
Orbisonia, PA 17243-9424
Phone (814) 447-3062

NPI Registry JSON

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

{
    "created_epoch": "1220400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678752000000",
    "number": "1801044813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 PEACH ORCHARD RD",
            "city": "MC CONNELLSBURG",
            "state": "PA",
            "postal_code": "172338559",
            "telephone_number": "717-485-3155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 PEACH ORCHARD RD",
            "city": "MC CONNELLSBURG",
            "state": "PA",
            "postal_code": "172338559",
            "telephone_number": "717-485-3155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SITCH",
        "first_name": "KENTON",
        "middle_name": "ROBERT",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-03",
        "last_updated": "2023-03-14",
        "certification_date": "2023-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MD",
            "license": "06164",
            "primary": false
        },
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "PA",
            "license": "OC011749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in MC Connellsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.