Organization Active NPI

Therapy Fundamentals

  • Occupational Therapist
  • East Stroudsburg, PA
National Provider Identifier
1962139196
Registry record updated Sep 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
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

Updated by the provider on Sep 30, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Danielle Collins, MS, OTR/LNPI 1508475344
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)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
104147353-0001MedicaidPA
104147353-0002MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address OTtherapyfundamentals@Outlook.com Direct

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.