Brenda Lee Hamersley, MS, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OP005905 Issued in PA

Practice address

368 Tioga Ave
Kingston, PA 18704-5117

Phone

(570) 287-9681

NPI assigned

Jan 14, 2010

Last updated

Jan 14, 2010By the provider in NPPES

Sex

Female

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

Credentials

Master of Science

State licenses

Practice roles

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.

• Luzerne Intermediate Unit #18

  • Community/Behavioral Health Agency
  • Kingston, PA
  • NPI 1164557716
  NPD (past)
• Luzerne Iu

  • Local Education Agency (LEA)
  • Kingston, PA
  • NPI 1922197516
  NPD (past)

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

{
    "created_epoch": "1263427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263427200000",
    "number": "1891025805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "396 SCHUYLER AVE",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187042728",
            "telephone_number": "570-287-6142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "368 TIOGA AVE",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187045117",
            "telephone_number": "570-287-9681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMERSLEY",
        "first_name": "BRENDA",
        "middle_name": "LEE",
        "credential": "MS, OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-14",
        "last_updated": "2010-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OP005905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wendy Guzenski, CRNP
• Vena Marie Guzman, MSW,LSW
• Jenifer Marie Habeeb, RD, LDN
• Marc Harley Habel
• Daniel Hackford, PHARMD
• Tracey Marie Hampton, LPC
• Jennifer Hanson, D.O.
• Catherine Mary Harding, CRNP
• Hillary Harris
• Michael W Harris, MD

• Occupational Therapist in Kingston, PA
• Providers in Kingston, PA by specialty
• Occupational Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2010; 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.