Sholynn Rae Harbold, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OP007047 Issued in PA

Practice address

203 Tekeley Lane
Ramey, PA 16671

Phone

(412) 622-4141

NPI assigned

Sep 2, 2020

Last updated

Mar 17, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1599004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679011200000",
    "number": "1992319453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 TEKELEY LANE",
            "city": "RAMEY",
            "state": "PA",
            "postal_code": "16671",
            "telephone_number": "412-622-4141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 TEKELEY LANE",
            "city": "RAMEY",
            "state": "PA",
            "postal_code": "16671",
            "telephone_number": "412-622-4141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARBOLD",
        "first_name": "SHOLYNN",
        "middle_name": "RAE",
        "name_prefix": "Mrs.",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-02",
        "last_updated": "2023-03-17",
        "certification_date": "2023-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "PA",
            "license": "OP007047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Jones Clevenstine, MA CCC-SLP
• Dara Felker-Merritt
• Speech Voice Feeding & Swallowing Therapy Center of Central PA
• Ryan Daniel Thomas
• Desiree N Williams, CRNP

• Occupational Therapy Assistant in Ramey, PA
• Providers in Ramey, PA by specialty
• Occupational Therapy Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2023; 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.