Active NPI
Therapy Fundamentals
- Occupational Therapist
- East Stroudsburg, PA
National Provider Identifier
1962139196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Legal business name
- THERAPY FUNDAMENTALS
- Practice address
- 511 Independence Rd
East Stroudsburg, PA 18301-8202 - Phone
- (570) 664-6005
- Fax
- (570) 664-6885
- NPI assigned
- Aug 8, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Danielle Collins, MS, OTR/L
- Title
- Occupational Therapist
- Phone
- (570) 664-6005
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | Primary |
Addresses
Primary practice location
511 Independence Rd
East Stroudsburg, PA 18301-8202
Mailing address
511 Independence Rd
East Stroudsburg, PA 18301-8202
Phone (570) 664-6005
Other practice location 1
209 N 8th St
Stroudsburg, PA 18360-1721
Phone (570) 242-3569
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 104147353-0001 | Medicaid | PA | |
| 104147353-0002 | Medicaid | PA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | OTtherapyfundamentals@Outlook.com | Direct |
National Provider Directory
National Provider DirectoryLocations
511 Independence Rd
East Stroudsburg, PA 18301
Phone (570) 664-6005
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Occupational Therapist
- East Stroudsburg, PA
- NPI 1508475344
-
- Speech-Language Pathologist
- East Stroudsburg, PA
- NPI 1073171526
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1659916800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1727654400000",
"number": "1962139196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "511 INDEPENDENCE RD",
"city": "EAST STROUDSBURG",
"state": "PA",
"postal_code": "183018202",
"telephone_number": "570-664-6005",
"fax_number": "570-664-6885"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "511 INDEPENDENCE RD",
"city": "EAST STROUDSBURG",
"state": "PA",
"postal_code": "183018202",
"telephone_number": "570-664-6005",
"fax_number": "570-664-6885"
}
],
"practiceLocations": [
{
"address_1": "209 N 8th St",
"address_purpose": "LOCATION",
"city": "Stroudsburg",
"state": "PA",
"postal_code": "183601721",
"country_code": "US",
"telephone_number": "570-242-3569",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "THERAPY FUNDAMENTALS",
"organizational_subpart": "NO",
"enumeration_date": "2022-08-08",
"last_updated": "2024-09-30",
"certification_date": "2024-09-30",
"status": "A",
"authorized_official_last_name": "COLLINS",
"authorized_official_first_name": "DANIELLE",
"authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
"authorized_official_telephone_number": "570-664-6005",
"authorized_official_credential": "MS, OTR/L"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "104147353-0001",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "104147353-0002",
"state": "PA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "OTtherapyfundamentals@Outlook.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "209 N 8th St",
"city": "Stroudsburg",
"state": "PA",
"country_code": "US",
"postal_code": "183601721",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in East Stroudsburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.