Active NPI
Rebecca Dipasquale, MSOTRL
- Occupational Therapist
- Hazleton, PA
National Provider Identifier
1871527580
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OC004381L
- Practice address
- 1 W Broad St
Suite 2
Hazleton, PA 18201-6407 - Phone
- (570) 459-4559
- Fax
- (570) 459-4558
- NPI assigned
- Jul 10, 2006
- Last updated
- Jul 9, 2007
- 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 Therapist | 225X00000X | OC004381L | PA | Primary |
Addresses
Primary practice location
1 W Broad St
Suite 2
Hazleton, PA 18201-6407
Mailing address
1505 N Market St
Berwick, PA 18603-2142
Phone (570) 759-6883
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0019213540007-0008 | Medicaid | PA |
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast PT Associates, Inc. | Occupational Therapist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1871527580",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1505 N MARKET ST",
"city": "BERWICK",
"state": "PA",
"postal_code": "186032142",
"telephone_number": "570-759-6883"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 W BROAD ST",
"address_2": "SUITE 2",
"city": "HAZLETON",
"state": "PA",
"postal_code": "182016407",
"telephone_number": "570-459-4559",
"fax_number": "570-459-4558"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIPASQUALE",
"first_name": "REBECCA",
"credential": "MSOTRL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-10",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "PA",
"license": "OC004381L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0019213540007-0008",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hazleton, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.