Active NPI
Madison Blunkosky
- Occupational Therapist
- Pittsburgh, PA
National Provider Identifier
1164029328
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OC018290
- 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
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 | 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TOC103656 | PA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopedic & Sports Physical Therapy Associates, Inc. | Current | Accepting new patients | |
| Orthopedic and Sports Physical Therapy Associates Inc | Occupational Therapist | Current | Accepting new patients |
| Orthopedic & Sports Physical Therapy Associates, Inc | Past | Accepting new patients | |
| The Hope Learning Center, LLC | Occupational Therapist | Past | 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.
-
- Physical Therapist
- Charleroi, PA
- NPI 1689636581
-
- Physical Therapist
- Pittsburgh, PA
- NPI 1003415829
Occupational Therapist
-
- Respiratory/Developmental/Rehabilitative Specialist/Technologist
- Wexford, PA
- NPI 1639351711
Occupational Therapist
-
- Customized Equipment (DME)
- Morgantown, WV
- NPI 1629208111
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.