Active NPI
Lan Hoang
- Occupational Therapist
- Broomall, PA
National Provider Identifier
1952959199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OC11798
- Practice address
- 50 N Malin Rd
Broomall, PA 19008-1429 - Phone
- (610) 356-0800
- NPI assigned
- Aug 30, 2019
- 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 | OC11798 | Primary |
Addresses
Primary practice location
50 N Malin Rd
Broomall, PA 19008-1429
Mailing address
50 N Malin Rd
Broomall, PA 19008-1429
Phone (610) 356-0800
Other practice location 1
2100 N 49th St
Philadelphia, PA 19131-2633
Phone (215) 877-1565
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| R59730377 | Other | BLUE CROSS BLUE SHIELD |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567123200000",
"number": "1952959199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 N MALIN RD",
"city": "BROOMALL",
"state": "PA",
"postal_code": "190081429",
"telephone_number": "610-356-0800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 N MALIN RD",
"city": "BROOMALL",
"state": "PA",
"postal_code": "190081429",
"telephone_number": "610-356-0800"
}
],
"practiceLocations": [
{
"address_1": "2100 N 49th St",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191312633",
"country_code": "US",
"telephone_number": "215-877-1565",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOANG",
"first_name": "LAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-30",
"last_updated": "2019-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": null,
"license": "OC11798",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "R59730377",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Broomall, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.