Provider Demographics
NPI:1437167921
Name:KOBI, BECKIE ANN (MSOTR/L)
Entity Type:Individual
Prefix:
First Name:BECKIE
Middle Name:ANN
Last Name:KOBI
Suffix:
Gender:F
Credentials:MSOTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1998 BAKER RD
Mailing Address - Street 2:
Mailing Address - City:PITTSTON TWP
Mailing Address - State:PA
Mailing Address - Zip Code:18640-9511
Mailing Address - Country:US
Mailing Address - Phone:570-237-0939
Mailing Address - Fax:570-824-6621
Practice Address - Street 1:1998 BAKER RD
Practice Address - Street 2:
Practice Address - City:PITTSTON TWP
Practice Address - State:PA
Practice Address - Zip Code:18640-9511
Practice Address - Country:US
Practice Address - Phone:570-237-0939
Practice Address - Fax:570-824-6621
Is Sole Proprietor?:No
Enumeration Date:2006-08-03
Last Update Date:2022-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC003197L225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA50031766OtherCAPITAL BLUE CROSS
PA372927OtherBLUE SHIELD GROUP #
PAMA1345150OtherBLUE SHIELD IND. PROVID #
PA814196OtherFIRST PRIORITY HEALTH
PA814196OtherFIRST PRIORITY HEALTH
PA1275526725Medicare ID - Type UnspecifiedGROUP NPI #