Individual provider Active NPI

Talia Theriault

  • Occupational Therapist
  • Exton, PA
National Provider Identifier
1871790790
Registry record updated Oct 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OC010374 Issued in PA
Practice address
749 Springdale Dr
Exton, PA 19341-2829
Phone
(610) 524-5850
NPI assigned
Jul 3, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OC010374 PA Primary

Addresses

Primary practice location

749 Springdale Dr
Exton, PA 19341-2829

Mailing address

749 Springdale Dr
Exton, PA 19341-2829
Phone (610) 524-5850

Other practice location 1

638 Brandywine Pkwy
West Chester, PA 19380-4278
Phone (610) 436-3600

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
OC010374PAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Leaps and Bounds Therapy Occupational Therapist Current Accepting new patients
Cerebral Palsy Association of Chester County, Inc. Past Accepting new patients
Cerebral Palsy Assn of CH Co Inc Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1183420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538352000000",
    "number": "1871790790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "749 SPRINGDALE DR",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193412829",
            "telephone_number": "610-524-5850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "749 SPRINGDALE DR",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193412829",
            "telephone_number": "610-524-5850"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "638 Brandywine Pkwy",
            "address_purpose": "LOCATION",
            "city": "West Chester",
            "state": "PA",
            "postal_code": "193804278",
            "country_code": "US",
            "telephone_number": "610-436-3600",
            "fax_number": "610-436-3606",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THERIAULT",
        "first_name": "TALIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-03",
        "last_updated": "2018-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC010374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Exton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2018; 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.