Basic Information
Provider Information | |||||||||
NPI: | 1588723910 | ||||||||
EntityType: | 1 | ||||||||
ReplacementNPI: |   | ||||||||
OrganizationName: |   | ||||||||
LastName: | SINGER | ||||||||
FirstName: | AMY | ||||||||
MiddleName: | S | ||||||||
NamePrefix: | MS. | ||||||||
NameSuffix: |   | ||||||||
Credential: | OTR | ||||||||
OtherOrganizationName: |   | ||||||||
OtherOrganizationType: |   | ||||||||
OtherLastName: | SINGER | ||||||||
OtherFirstName: | AMY | ||||||||
OtherMiddleName: | F | ||||||||
OtherNamePrefix: | MRS. | ||||||||
OtherNameSuffix: |   | ||||||||
OtherCredential: | OTR | ||||||||
OtherLastNameType: | 5 | ||||||||
Mailing Information | |||||||||
Address1: | 361 VINEYARD LN | ||||||||
Address2: |   | ||||||||
City: | EXTON | ||||||||
State: | PA | ||||||||
PostalCode: | 19341 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 4848728549 | ||||||||
FaxNumber: |   | ||||||||
Practice Location | |||||||||
Address1: | 250 LANCASTER AVE | ||||||||
Address2: | SUITE #225 | ||||||||
City: | PAOLI | ||||||||
State: | PA | ||||||||
PostalCode: | 19301 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 6106518282 | ||||||||
FaxNumber: | 6106518213 | ||||||||
Other Information | |||||||||
ProviderEnumerationDate: | 12/08/2006 | ||||||||
LastUpdateDate: | 07/08/2007 | ||||||||
NPIDeactivationReasonCode: |   | ||||||||
NPIDeactivationDate: |   | ||||||||
NPIReactivationDate: |   | ||||||||
ProviderGenderCode: | F | ||||||||
AuthorizedOfficialLastName: |   | ||||||||
AuthorizedOfficialFirstName: |   | ||||||||
AuthorizedOfficialMiddleName: |   | ||||||||
AuthorizedOfficialTitleorPosition: |   | ||||||||
AuthorizedOfficialTelephone: |   | ||||||||
IsSoleProprietor: | N | ||||||||
IsOrganizationSubpart: |   | ||||||||
ParentOrganizationLBN: |   | ||||||||
AuthorizedOfficialNamePrefix: |   | ||||||||
AuthorizedOfficialNameSuffix: |   | ||||||||
AuthorizedOfficialCredential: |   | ||||||||
NPICertificationDate: |   |
Taxonomy Information
Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225X00000X | OC010184 | PA | Y |   | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist |   |
ID Information
ID | Type | State | Issuer | Description | 26270063000 | 01 |   | PERSONAL CHOICE 65 JANE M | OTHER | 2284912000 | 01 |   | PERSONAL CHOICE 65 ELIZAB | OTHER | P00122385 | 01 |   | MEDICARE RAILROAD MAIN LI | OTHER | 0401979000 | 01 |   | PERSONAL CHOICE 65 TERI S | OTHER | 2116418000 | 01 |   | KEYSTONE 65 MAIN LINE HAN | OTHER | 3207843 | 01 |   | AETNA PPO MAIN LINE HAND | OTHER | 4782050001 | 01 |   | MEDICARE DME SUPPLIER MAI | OTHER | 2116418000 | 01 |   | KEYSTONE HPE MAIN LINE HA | OTHER | 2627004000 | 01 |   | PERSONAL CHOICE 65 KATHY | OTHER |