Basic Information
Provider Information | |||||||||
NPI: | 1225356876 | ||||||||
EntityType: | 2 | ||||||||
ReplacementNPI: |   | ||||||||
OrganizationName: | STAFFING PLUS | ||||||||
LastName: |   | ||||||||
FirstName: |   | ||||||||
MiddleName: |   | ||||||||
NamePrefix: |   | ||||||||
NameSuffix: |   | ||||||||
Credential: |   | ||||||||
OtherOrganizationName: |   | ||||||||
OtherOrganizationType: |   | ||||||||
OtherLastName: |   | ||||||||
OtherFirstName: |   | ||||||||
OtherMiddleName: |   | ||||||||
OtherNamePrefix: |   | ||||||||
OtherNameSuffix: |   | ||||||||
OtherCredential: |   | ||||||||
OtherLastNameType: |   | ||||||||
Mailing Information | |||||||||
Address1: | 147 BRYN MAWR AVE | ||||||||
Address2: |   | ||||||||
City: | LANSDOWNE | ||||||||
State: | PA | ||||||||
PostalCode: | 190501806 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 6106268234 | ||||||||
FaxNumber: |   | ||||||||
Practice Location | |||||||||
Address1: | 551 W LANCASTER AVE | ||||||||
Address2: |   | ||||||||
City: | HAVERFORD | ||||||||
State: | PA | ||||||||
PostalCode: | 190411419 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 6105254000 | ||||||||
FaxNumber: |   | ||||||||
Other Information | |||||||||
ProviderEnumerationDate: | 05/06/2010 | ||||||||
LastUpdateDate: | 05/06/2010 | ||||||||
NPIDeactivationReasonCode: |   | ||||||||
NPIDeactivationDate: |   | ||||||||
NPIReactivationDate: |   | ||||||||
ProviderGenderCode: |   | ||||||||
AuthorizedOfficialLastName: | CATAPANO | ||||||||
AuthorizedOfficialFirstName: | CASSANDRA | ||||||||
AuthorizedOfficialMiddleName: | ALEEN | ||||||||
AuthorizedOfficialTitleorPosition: | STAFF OCCUPATIONAL THERAPIST | ||||||||
AuthorizedOfficialTelephone: | 6105254000 | ||||||||
IsSoleProprietor: |   | ||||||||
IsOrganizationSubpart: | N | ||||||||
ParentOrganizationLBN: |   | ||||||||
AuthorizedOfficialNamePrefix: | MS. | ||||||||
AuthorizedOfficialNameSuffix: |   | ||||||||
AuthorizedOfficialCredential: | OTR/L | ||||||||
NPICertificationDate: |   |
Taxonomy Information
Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 283X00000X | OC007377L | PA | N |   | Hospitals | Rehabilitation Hospital |   | 314000000X | OC007377L | PA | N |   | Nursing & Custodial Care Facilities | Skilled Nursing Facility |   | 282N00000X | OC007377L | PA | Y |   | Hospitals | General Acute Care Hospital |   |
No ID Information.