Linda R Profota, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OP000545L Issued in PA

Practice address

5500 Brooktree Rd
Suite 102 Rehab Care
Wexford, PA 15090-9260

Phone

(724) 940-3468

NPI assigned

Mar 19, 2007

Last updated

Jul 8, 2007By 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

State licenses

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902920556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "237 COLLINS DR",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152353837",
            "telephone_number": "412-795-3558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 BROOKTREE RD",
            "address_2": "SUITE 102 REHAB CARE",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150909260",
            "telephone_number": "724-940-3468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROFOTA",
        "first_name": "LINDA",
        "middle_name": "R",
        "credential": "COTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "PA",
            "license": "OP000545L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Premise Health of Pennsylvania Medical, P.C (Lithia Motors - Wexford)
• Lisa Prenni
• Alexis Preston
• Bethany M Prince, PA
• Megan Marie Pritchard, LPC
• Kelly Provident, LPC
• Jenna Lee Pudis, M.A., CCC/SLP
• Frederic A Pugliano, M.D.
• Elizabeth Pullis
• Kayla Punzak, M.S CF-SLP

• Occupational Therapy Assistant in Wexford, PA
• Providers in Wexford, 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 Jul 8, 2007; 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.