Provider Demographics
NPI:1154526689
Name:BAYERL, DEANN L (MS, OTR/L, SCLV)
Entity type:Individual
Prefix:
First Name:DEANN
Middle Name:L
Last Name:BAYERL
Suffix:
Gender:F
Credentials:MS, OTR/L, SCLV
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1214 SMITH LN
Mailing Address - Street 2:
Mailing Address - City:PALMYRA
Mailing Address - State:PA
Mailing Address - Zip Code:17078-8364
Mailing Address - Country:US
Mailing Address - Phone:717-279-1789
Mailing Address - Fax:717-473-3334
Practice Address - Street 1:1214 SMITH LN
Practice Address - Street 2:
Practice Address - City:PALMYRA
Practice Address - State:PA
Practice Address - Zip Code:17078-8364
Practice Address - Country:US
Practice Address - Phone:717-279-1789
Practice Address - Fax:717-473-3334
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-15
Last Update Date:2018-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC010517225XL0004X, 225X00000X
OC010517225XG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No225XL0004XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistLow Vision
No225XG0600XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGerontology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA121814Medicare PIN