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 | 225X00000X | Occupational Therapist | | OC010184 | 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 | 087889QZY | MEDICARE ID-TYPE UNSPECIFIED | | JANE MOORE |
| 2 | 078015QZY | MEDICARE ID-TYPE UNSPECIFIED | | ELIZABETH D ENTREMONT |
| 3 | P00122385 | OTHER | | MEDICARE RAILROAD MAIN LI |
| 4 | 2116418000 | OTHER | | KEYSTONE 65 MAIN LINE HAN |
| 5 | 2284912000 | OTHER | | PERSONAL CHOICE 65 ELIZAB |
| 6 | 2627004000 | OTHER | | PERSONAL CHOICE 65 KATHY |
| 7 | 062877 | MEDICARE ID-TYPE UNSPECIFIED | | MAIN LINE HAND CENTER |
| 8 | 0401979000 | OTHER | | PERSONAL CHOICE 65 TERI S |
| 9 | 2116418000 | OTHER | | KEYSTONE HPE MAIN LINE HA |
| 10 | 087898QZY | MEDICARE ID-TYPE UNSPECIFIED | | KATHY POPIEL |
| 11 | 4782050001 | OTHER | | MEDICARE DME SUPPLIER MAI |
| 12 | 26270063000 | OTHER | | PERSONAL CHOICE 65 JANE M |
| 13 | 3207843 | OTHER | | AETNA PPO MAIN LINE HAND |