Empowered Therapy

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OC007133L Issued in PA

Legal business name

EMPOWERED THERAPY

Practice address

912 Main St
Suite 104
Stroudsburg, PA 18360-1641

Phone

(570) 801-1902

NPI assigned

Jul 12, 2013

Organization subpart

No

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

Authorized official

Name

Mrs. Shuantise P. Dubose, OTR/LNPI 1417211939

Title

Owner/Occupational Therapist

Phone

(570) 801-1902

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shuantise Dubose, OTR/L

  • Occupational Therapist
  • Stroudsburg, PA
  • NPI 1417211939
  NPD (past) Authorized official

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

{
    "created_epoch": "1373587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373587200000",
    "number": "1851732242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "912 MAIN ST",
            "address_2": "SUITE 104",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "183601641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 MAIN ST",
            "address_2": "SUITE 104",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "183601641",
            "telephone_number": "570-801-1902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPOWERED THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-12",
        "last_updated": "2013-07-12",
        "status": "A",
        "authorized_official_last_name": "DUBOSE",
        "authorized_official_first_name": "SHUANTISE",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "OWNER/OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "570-801-1902",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC007133L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mary Elise Esgro, OTR/L
• Michael A. Esposito, D.D.S.
• Eye Care Center
• Cecilia M Ezro
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• Occupational Therapist in Stroudsburg, PA
• Providers in Stroudsburg, PA by specialty
• Occupational Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2013; 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.