Active NPI
Heather Lee Coble, COTA/L
- Occupational Therapy Assistant
- Forksville, PA
National Provider Identifier
1861643546
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- OP 006504
- Practice address
- 5865 Route 154
Forksville, PA 18616-8912 - Phone
- (570) 924-3411
- NPI assigned
- Oct 1, 2008
- Last updated
- Jan 12, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | OP 006504 | PA | Primary |
Addresses
Primary practice location
5865 Route 154
Forksville, PA 18616-8912
Mailing address
641 Clyde Rd
Unityville, PA 17774-9310
Phone (570) 419-1410
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
| License | State | Type | Specialty |
|---|---|---|---|
| OP 006504 | PA | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768176000000",
"number": "1861643546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "641 CLYDE RD",
"city": "UNITYVILLE",
"state": "PA",
"postal_code": "177749310",
"telephone_number": "570-419-1410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5865 ROUTE 154",
"city": "FORKSVILLE",
"state": "PA",
"postal_code": "186168912",
"telephone_number": "570-924-3411"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COBLE",
"first_name": "HEATHER",
"middle_name": "LEE",
"name_prefix": "Miss",
"credential": "COTA/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-10-01",
"last_updated": "2026-01-12",
"certification_date": "2026-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "PA",
"license": "OP 006504",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Forksville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.