Individual provider Active NPI

Kaitlyn Hruska, COTA/L

  • Low Vision Occupational Therapy Assistant
  • Greenville, PA
National Provider Identifier
1821757501
Registry record updated Dec 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Low Vision Occupational Therapy AssistantTaxonomy code 224ZL0004X
License
OP007794 Issued in PA
Practice address
339 E Jamestown Rd
Greenville, PA 16125-9206
Phone
(724) 588-7610
NPI assigned
Dec 10, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Low Vision Occupational Therapy Assistant 224ZL0004X OP007794 PA Primary

Addresses

Primary practice location

339 E Jamestown Rd
Greenville, PA 16125-9206

Mailing address

2856 Gull LN
Transfer, PA 16154-8914
Phone (724) 877-6311

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
OP007794PAMDLow Vision Occupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1639094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639094400000",
    "number": "1821757501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2856 GULL LN",
            "city": "TRANSFER",
            "state": "PA",
            "postal_code": "161548914",
            "telephone_number": "724-877-6311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "339 E JAMESTOWN RD",
            "city": "GREENVILLE",
            "state": "PA",
            "postal_code": "161259206",
            "telephone_number": "724-588-7610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HRUSKA",
        "first_name": "KAITLYN",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-10",
        "last_updated": "2021-12-10",
        "certification_date": "2021-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224ZL0004X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant, Low Vision",
            "state": "PA",
            "license": "OP007794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2021; 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.