Carissa Peppard, OTR
Individual provider Active NPI Occupational Therapist · Effort, PA
NPI 1992849145 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1992849145
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- OC-009836 (PA)
- Practice address
- 1621 Starry LN
Effort, PA 18330-9748 - Phone
- (570) 629-6793
- Fax
- (570) 424-2346
- NPI assigned
- Feb 19, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OC-009836 | PA | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OC-009836 | PA | Yes |
Addresses
Primary practice location
1621 Starry LN
Effort, PA 18330-9748
Mailing address
1621 Starry LN
Effort, PA 18330-9748
Phone (570) 629-6793
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101785863 | Medicaid | PA |
Other providers in Effort, PA
- Jullianne Newman
- Jennifer Lynn O'Keefe
- Beth A Oswald
- Alessandra B Pantinople
- Pennsylvania CVS Pharmacy LLC
- Rhodium Care Group of PA PLLC
- Ride4Health Scranton
- Bridget Schultz
- SNP Direct Paths LLC
- Sped Consulting & Therapy
All providers in Effort, PA · Occupational Therapist in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.