Healthcare Provider Details
I. General information
NPI: 1811883739
Provider Name (Legal Business Name): ROOTED IN WELLNESS OCCUPATIONAL THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/16/2025
Last Update Date: 06/16/2025
Certification Date: 06/16/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1235 PENN AVE STE 206
WYOMISSING PA
19610-2100
US
IV. Provider business mailing address
1235 PENN AVE STE 206
WYOMISSING PA
19610-2100
US
V. Phone/Fax
- Phone: 484-939-9717
- Fax: 610-743-8533
- Phone: 484-939-9717
- Fax: 610-743-8533
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225X00000X |
| Taxonomy | Occupational Therapist |
| License Number | |
| License Number State | NULL |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 235Z00000X |
| Taxonomy | Speech-Language Pathologist |
| License Number | |
| License Number State | NULL |
VIII. Authorized Official
Name: DR.
ADRIAN
DANBY
Title or Position: OWNER/OCCUPATIONAL THERAPIST
Credential: OTD, OTR/L
Phone: 484-797-9801