Individual provider Active NPI

Robin Boboshko-Kline

  • Driving and Community Mobility Occupational Therapy Assistant
  • Corry, PA
National Provider Identifier
1821456013
Registry record updated Feb 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Driving and Community Mobility Occupational Therapy AssistantTaxonomy code 224ZR0403X
License
OP008292 Issued in PA
Practice address
640 Worth Street
Corry, PA 16407
Phone
(814) 664-9606
NPI assigned
Feb 3, 2016
Last updated
Feb 3, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Driving and Community Mobility Occupational Therapy Assistant 224ZR0403X OP008292 PA Primary

Addresses

Primary practice location

640 Worth Street
Corry, PA 16407

Mailing address

640 Worth Street
Corry, PA 16407
Phone (814) 664-9606

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
OP008292PAMDDriving and Community Mobility Occupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1454457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454457600000",
    "number": "1821456013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 WORTH STREET",
            "city": "CORRY",
            "state": "PA",
            "postal_code": "16407",
            "telephone_number": "814-664-9606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 WORTH STREET",
            "city": "CORRY",
            "state": "PA",
            "postal_code": "16407",
            "telephone_number": "814-664-9606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOBOSHKO-KLINE",
        "first_name": "ROBIN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-03",
        "last_updated": "2016-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224ZR0403X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant, Driving and Community Mobility",
            "state": "PA",
            "license": "OP008292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corry, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2016; 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.