Healthcare Provider Details

I. General information

NPI: 1457032948
Provider Name (Legal Business Name): AMY CHAKOT BSN RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/27/2023
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

835 HOSPITAL RD
INDIANA PA
15701-3629
US

IV. Provider business mailing address

835 HOSPITAL RD
INDIANA PA
15701-3629
US

V. Phone/Fax

Practice location:
  • Phone: 724-357-7095
  • Fax:
Mailing address:
  • Phone: 724-357-7095
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License NumberOP009621
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: