Active NPI
Donald A Booker, COTA
- Occupational Therapy Assistant
- Creighton, PA
National Provider Identifier
1992024210
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- OP006795
- Practice address
- 256 Bailies Run Rd
Creighton, PA 15030-1002 - Phone
- (724) 980-4276
- NPI assigned
- May 26, 2010
- Sex
- Male
- Sole proprietor
- Yes
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 | OP006795 | PA | Primary |
Addresses
Primary practice location
256 Bailies Run Rd
Creighton, PA 15030-1002
Mailing address
256 Bailies Run Rd
Creighton, PA 15030-1002
Phone (724) 980-4276
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 |
|---|---|---|---|
| OP006795 | PA | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274832000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1274832000000",
"number": "1992024210",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "256 BAILIES RUN RD",
"city": "CREIGHTON",
"state": "PA",
"postal_code": "150301002",
"telephone_number": "724-980-4276"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "256 BAILIES RUN RD",
"city": "CREIGHTON",
"state": "PA",
"postal_code": "150301002",
"telephone_number": "724-980-4276"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOOKER",
"first_name": "DONALD",
"middle_name": "A",
"credential": "COTA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-05-26",
"last_updated": "2010-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "PA",
"license": "OP006795",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Creighton, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.