Individual provider Active NPI

Madison Blunkosky

  • Occupational Therapist
  • Pittsburgh, PA
National Provider Identifier
1164029328
Registry record updated Aug 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OC018290 Issued in PA
Practice address
1405 Shady Ave
Pittsburgh, PA 15217-1350
Phone
(412) 420-2400
NPI assigned
Oct 1, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X TOC103656 PA
Occupational Therapist 225X00000X OC018290 PA Primary

Addresses

Primary practice location

1405 Shady Ave
Pittsburgh, PA 15217-1350

Mailing address

4944 Simmons Cir
Export, PA 15632-9330
Phone (412) 953-4799

Other names 1

  • Madison Kiragis Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240607002034 PA Practitioner - Occupational Therapist in Private Practice 1355883133 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TOC103656PAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic & Sports Physical Therapy Associates, Inc. CurrentSince May 21, 2024 Accepting new patients
Orthopedic and Sports Physical Therapy Associates Inc Occupational Therapist CurrentSince May 21, 2024 Accepting new patients
Orthopedic & Sports Physical Therapy Associates, Inc Past Accepting new patients
The Hope Learning Center, LLC Occupational Therapist PastSince Oct 1, 2020 Accepting new patients

Locations

625 Lincoln Ave
Ste 107
North Charleroi, PA 15022
Phone (724) 483-4886

500 1st Ave
Pittsburgh, PA 15219
Phone (412) 807-7878

4325 State Route 51
Rostraver Township, PA 15012
Phone (724) 483-4859

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1601510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660348800000",
    "number": "1164029328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4944 SIMMONS CIR",
            "city": "EXPORT",
            "state": "PA",
            "postal_code": "156329330",
            "telephone_number": "412-953-4799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 SHADY AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152171350",
            "telephone_number": "412-420-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLUNKOSKY",
        "first_name": "MADISON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-01",
        "last_updated": "2022-08-13",
        "certification_date": "2022-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "TOC103656",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC018290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MADISON",
            "last_name": "KIRAGIS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.