Physician Compare National (NPI:1073573895)

HEALTHCARE PROVIDER: MARK J DREIBELBIS OTR/L CHT

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1073573895
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2961533229
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100630000345
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	DREIBELBIS
	Individual professional last name
Provider First Name	MARK
	Individual professional first name
Provider Middle Name	J
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1976
	Individual professional's medical school graduation year
Primary Specialty	OCCUPATIONAL THERAPY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	1435 PENN AVE
	Group Practice or individual's line 1 address
Line 2 Street Address	BERKS HAND THERAPY CENTER
	Group Practice or individual's line 2 address
City	WYOMISSING
	Group Practice or individual's city
State	PA
	Group Practice or individual's state
Zip Code	196102133
	Group Practice or individual's zip code (9 digits when available)
Phone Number	6103761902
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y