Jolene Michelle Skias, COTA L
Individual provider Active NPI Occupational Therapy Assistant · Cornwall, PA
NPI 1821292467 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1821292467
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- OP001803L (PA)
- Practice address
- 1 Boyd Street
Cornwall, PA 17016 - Phone
- (717) 273-2647
- NPI assigned
- Jun 14, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OP001803L | PA | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | OP001803L | PA | Yes |
Addresses
Primary practice location
1 Boyd Street
Cornwall, PA 17016
Mailing address
181 Ruth Ave
Wernersville, PA 19565-9678
Phone (610) 670-7136
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 814003 | Other | PA | FIM CERTIFICATION |
Other providers in Cornwall, PA
- Jennifer Jo Burkholder
- Cornwall Manor
- Jodi Lynne Lentz
- Andrea Lynn Levan
- Jessica Miller Sherk
- T. W. Ponessa and Associates Counseling Services, Inc.
- Chelsea Jo Wenrich
All providers in Cornwall, PA · Occupational Therapy Assistant in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.