Active NPI
Wanda Lisa Ferguson, COTA/L
- Occupational Therapy Assistant
- Philipsburg, PA
National Provider Identifier
1922364132
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- OP007296
- Practice address
- 100 Dogwood Dr
Philipsburg, PA 16866-1982 - Phone
- (814) 342-8400
- NPI assigned
- Apr 2, 2012
- 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 Therapy Assistant | 224Z00000X | OP007296 | PA | Primary |
Addresses
Primary practice location
100 Dogwood Dr
Philipsburg, PA 16866-1982
Mailing address
1043 Troy Hawk Run Hwy
Philipsburg, PA 16866-7922
Phone (814) 553-1659
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OP007296 | PA | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1333324800000",
"number": "1922364132",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1043 TROY HAWK RUN HWY",
"city": "PHILIPSBURG",
"state": "PA",
"postal_code": "168667922",
"telephone_number": "814-553-1659"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 DOGWOOD DR",
"city": "PHILIPSBURG",
"state": "PA",
"postal_code": "168661982",
"telephone_number": "814-342-8400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERGUSON",
"first_name": "WANDA",
"middle_name": "LISA",
"credential": "COTA/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-04-02",
"last_updated": "2012-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "PA",
"license": "OP007296",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philipsburg, PA
- Diana Dawn Dutra, D.O.
- Roxann L Emigh, MS CCC/SLP
- Chelsey M Ernst, PA-C
- Expressions Counseling Services LTD.
- Jennifer Fenton
- Stephanie Fozard, O.D.
- Macey Elizabeth Frank, CRNP
- Jiame Lynn Frazier, ATC
- Fresenius Medical Care Dubois, LLC (Fresenius Medical Care North Philipsburg)
- Anthony Joseph Froncillo, D.O.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.