JUDITH R SIRAVO OTR L CHT NPI 1033107123

NPI Information

NPI: 1033107123
Provider Name: JUDITH R SIRAVO, OTR L CHT
Classification: Occupational Therapist - 225XH1200X
Entity Type: Individual

Specialization: Hand

Organization: BHSM REHABILITATION LLC Address:
2630 HOLME AVE
PHILADELPHIA, PA
ZIP 19152
Phone: (215) 992-4975
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Judith R Siravo, OTR L CHT is a hand occupational therapist in Philadelphia, PA with 35 years of experience. Judith R Siravo, OTR L CHT NPI is 1033107123. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2630 HOLME AVE
PHILADELPHIA, PA
ZIP 19152-004
Phone: (215) 992-4975
Fax: (215) 992-4963

The enumeration date for this NPI number is 10/12/2005 and was last updated on 3/5/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	225XH1200X	Occupational Therapist	Hand	OC002364L	PENNSYLVANIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1013432170001	MEDICAID	PENNSYLVANIA
2	094109	MEDICARE ID-TYPE UNSPECIFIED	PENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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