Active NPI
Gena M Minrod, COTA
- Occupational Therapy Assistant
- Orwigsburg, PA
National Provider Identifier
1992826762
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 0P002526L
- Practice address
- 1000 Orwigsburg Manor Dr
Orwigsburg, PA 17961-1303 - Phone
- (570) 621-7432
- NPI assigned
- Apr 2, 2007
- Sex
- Female
- 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 | 0P002526L | PA | Primary |
Addresses
Primary practice location
1000 Orwigsburg Manor Dr
Orwigsburg, PA 17961-1303
Mailing address
179 Valley St
New Phila, PA 17959-1228
Phone (570) 277-6424
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 |
|---|---|---|---|
| 0P002526L | PA | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1992826762",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "179 VALLEY ST",
"city": "NEW PHILA",
"state": "PA",
"postal_code": "179591228",
"telephone_number": "570-277-6424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 ORWIGSBURG MANOR DR",
"city": "ORWIGSBURG",
"state": "PA",
"postal_code": "179611303",
"telephone_number": "570-621-7432"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MINROD",
"first_name": "GENA",
"middle_name": "M",
"credential": "COTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "PA",
"license": "0P002526L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orwigsburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.