Abby Francis Pucillo, MSOTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

16159 Issued in CA

Practice address

452 Grand St
Redwood City, CA 94062-2062

Phone

(209) 559-4002

NPI assigned

Sep 1, 2015

Last updated

Jan 10, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1441065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704844800000",
    "number": "1215304621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1027 15TH AVE UNIT B",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940634437",
            "telephone_number": "209-559-4002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "452 GRAND ST",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940622062",
            "telephone_number": "209-559-4002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUCILLO",
        "first_name": "ABBY",
        "middle_name": "FRANCIS",
        "credential": "MSOTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-01",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "CA",
            "license": "16159",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diana Pritsker
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• Carol Joy Provan
• Provider Resources Group, Inc. (ArcWell Medical)
• Feby Maria Puravath Manikat, M.D.
• Shikha Puri, D.M.D
• Purifi Health, a Medical Corporation
• David Thomas Pusateri, MD
• Xiang Qian, MD, PHD

• Pediatric Occupational Therapist in Redwood City, CA
• Providers in Redwood City, CA by specialty
• Pediatric Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.