Amy Jo Hathaway, OTRL
Occupational Therapist in Bradford, PA. Individual provider (NPI-1).
NPI number1073709705
StatusActive
Last updated in NPPESSep 17, 2007
Details
- NPI
- 1073709705
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Amy Jo Hathaway
- Credential
- OTRL
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 17, 2007
- Last updated
- Sep 17, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | OC008580 | PA | Yes |
Practice location
110 Campus DriveBradford, PA 16701
Phone 814-362-6535 · Fax 814-887-5666
Mailing address
65 Sunrise Ridge RdCoudersport, PA 16915
Phone 814-274-2255
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 10 Occupational Therapist providers in Bradford · All 439 providers in Bradford
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