Johnathan Michael Hau, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OP007858 Issued in PA

Practice address

69 Cottage Rd
Mifflin, PA 17058-7030

Phone

(717) 436-8921

NPI assigned

Apr 14, 2014

Last updated

Apr 14, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1397433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397433600000",
    "number": "1871912220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 CHRISTIAN LN",
            "city": "LOCK HAVEN",
            "state": "PA",
            "postal_code": "177458236",
            "telephone_number": "814-558-8991",
            "fax_number": "570-543-4546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 COTTAGE RD",
            "city": "MIFFLIN",
            "state": "PA",
            "postal_code": "170587030",
            "telephone_number": "717-436-8921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAU",
        "first_name": "JOHNATHAN",
        "middle_name": "MICHAEL",
        "credential": "COTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-14",
        "last_updated": "2014-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "PA",
            "license": "OP007858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Occupational Therapy Assistant in Mifflin, PA
• Providers in Mifflin, PA by specialty
• Occupational Therapy Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2014; 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.