Active NPI
Julia Demarco
- Occupational Therapist
- Dallas, PA
National Provider Identifier
1881320588
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OC018001
- Practice address
- 64 Ridgway Dr Ste 1
Dallas, PA 18612-9263 - Phone
- (570) 255-4578
- NPI assigned
- Jul 26, 2022
- Last updated
- Jul 26, 2022
- 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 | OC018001 | PA | Primary |
Addresses
Primary practice location
64 Ridgway Dr Ste 1
Dallas, PA 18612-9263
Mailing address
401 Roanoke LN
Scranton, PA 18504-9616
Phone (570) 955-9679
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
64 Ridgway Dr
Suite 1
Dallas, PA 18612-9263
Phone (570) 255-4578
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cip Rehabilitation Inc | Occupational Therapist | Current | Accepting new patients |
Locations
64 Ridgway Dr
#1
Dallas, PA 18612
Phone (570) 255-4578
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.
-
- Occupational Therapist
- Dallas, PA
- NPI 1669963039
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658793600000",
"number": "1881320588",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 ROANOKE LN",
"city": "SCRANTON",
"state": "PA",
"postal_code": "185049616",
"telephone_number": "570-955-9679"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "64 RIDGWAY DR STE 1",
"city": "DALLAS",
"state": "PA",
"postal_code": "186129263",
"telephone_number": "570-255-4578"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEMARCO",
"first_name": "JULIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-26",
"last_updated": "2022-07-26",
"certification_date": "2022-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "PA",
"license": "OC018001",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.