Active NPI
Kristen Ashley Bianco, MOT, OTR/L
- Occupational Therapist
- Erie, PA
National Provider Identifier
1083120109
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OC015312
- Practice address
- 143 E 2ND St
Erie, PA 16507-1501 - Phone
- (814) 878-1200
- NPI assigned
- Dec 27, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT010022 | OH | |
| Occupational Therapist | 225X00000X | OC015312 | PA | Primary |
Addresses
Primary practice location
143 E 2ND St
Erie, PA 16507-1501
Mailing address
201 State St
Erie, PA 16550-8506
Phone (412) 862-7931
Other practice location 1
560 E 3rd St
Erie, PA 16507-1753
Phone (814) 871-4531
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | upmchospitals@upmcdirect.com | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT010022 | OH | MD | Occupational Therapist |
| OC015312 | PA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1514332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617062400000",
"number": "1083120109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 STATE ST",
"city": "ERIE",
"state": "PA",
"postal_code": "165508506",
"telephone_number": "412-862-7931"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "143 E 2ND ST",
"city": "ERIE",
"state": "PA",
"postal_code": "165071501",
"telephone_number": "814-878-1200"
}
],
"practiceLocations": [
{
"address_1": "560 E 3rd St",
"address_purpose": "LOCATION",
"city": "Erie",
"state": "PA",
"postal_code": "165071753",
"country_code": "US",
"telephone_number": "814-871-4531",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BIANCO",
"first_name": "KRISTEN",
"middle_name": "ASHLEY",
"credential": "MOT, OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-12-27",
"last_updated": "2021-03-30",
"certification_date": "2021-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": "OH",
"license": "OT010022",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": "PA",
"license": "OC015312",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "upmchospitals@upmcdirect.com",
"affiliation": "N",
"endpointDescription": "secure UPMC direct address",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "201 State St",
"city": "Erie",
"state": "PA",
"country_code": "US",
"postal_code": "165500002",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Erie, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.