Edlantis Achievement Center

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

Legal business name

EDLANTIS ACHIEVEMENT CENTER

Practice address

3583 Scotland Rd
Scotland, PA 17254-1200

Phone

(717) 496-9364

Fax

(717) 446-0707

NPI assigned

Jul 19, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Joel Desotelle, OTR/L

Title

President

Phone

(717) 496-9364

Specialties & licenses 6

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Leah Merrill

  • Occupational Therapist
  • Albany, NY
  • NPI 1821490665

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1342656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430956800000",
    "number": "1821343476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 393",
            "city": "SCOTLAND",
            "state": "PA",
            "postal_code": "172540393",
            "telephone_number": "717-496-9364",
            "fax_number": "717-446-0707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3583 SCOTLAND RD",
            "city": "SCOTLAND",
            "state": "PA",
            "postal_code": "172541200",
            "telephone_number": "717-496-9364",
            "fax_number": "717-446-0707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDLANTIS ACHIEVEMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-19",
        "last_updated": "2015-05-07",
        "status": "A",
        "authorized_official_last_name": "DESOTELLE",
        "authorized_official_first_name": "JOEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "717-496-9364",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225XG0600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Gerontology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XL0004X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Low Vision",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XN1300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Neurorehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XP0019X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Jones
• Christine Achenbach Kimmel, MED, OTRL
• Linda A McFarland, CRNP
• Bryanna Rochelle Resh, OTR/L
• Kenneth Wayne Rictor, M.D.

• Pediatric Occupational Therapist in Scotland, PA
• Providers in Scotland, PA by specialty
• Pediatric Occupational Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2015; 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.