Hillary Rosendale, OT

Individual provider Active NPI Occupational Therapist · Kingston, PA

NPI 1902394901 · NPPES record last updated Jul 23, 2026

Key facts

NPI
1902394901
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
OC020772 (PA)
Practice address
1133 Wyoming Ave
Kingston, PA 18704-4003
Phone
(570) 714-1246
Fax
(570) 714-1249
NPI assigned
Apr 25, 2018
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
056.012359ILMDOccupational Therapist
OC020772PAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Wyoming Valley Childrens Association Occupational Therapist Past
since Feb 1, 2025
Accepting new patients
Well-Nurtured Development Occupational Therapist Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OC020772 PA Yes

Addresses

Primary practice location

1133 Wyoming Ave
Kingston, PA 18704-4003

Mailing address

1133 Wyoming Ave
Kingston, PA 18704-4003
Phone (570) 714-1246

Other providers in Kingston, PA

All providers in Kingston, PA · Occupational Therapist in Pennsylvania

Sources for this page

Verify at the official NPI Registry.