Active NPI
Allegheny Clinic
Doing business as Suburban Occupational Therapy
- Occupational Therapist
- Pittsburgh, PA
National Provider Identifier
1245530013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Legal business name
- ALLEGHENY CLINIC
- Doing business as
- Suburban Occupational Therapy
- Practice address
- 100 S Jackson Ave
Pittsburgh, PA 15202-3428 - Phone
- (412) 734-6030
- Fax
- (412) 734-6881
- NPI assigned
- Oct 27, 2010
- Last updated
- Apr 8, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Patrick Benton
- Title
- Provider Credentialing Specialist
- Phone
- (412) 330-5015
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | Primary |
Addresses
Primary practice location
100 S Jackson Ave
Pittsburgh, PA 15202-3428
Mailing address
4 Allegheny Ctr FL 4
Pittsburgh, PA 15212-5255
Phone (412) 330-5015
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1007317140375 | Medicaid | PA |
Other names 1
- Suburban Occupational Therapy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040310000602 | PA | Part B Supplier - Clinic/Group Practice | 5395649586 |
Receives reassigned benefits from 3,418 practitioners This NPI is an additional NPI on the enrollment |
National Provider Directory
National Provider DirectoryLocations
100 S Jackson Ave
Pittsburgh, PA 15202
Phone (412) 734-6030
4 Allegheny Ctr
Fl 4
Pittsburgh, PA 15212
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Canonsburg, PA
- NPI 1427211069
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288137600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1460073600000",
"number": "1245530013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 ALLEGHENY CTR FL 4",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152125255",
"telephone_number": "412-330-5015",
"fax_number": "412-330-5522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 S JACKSON AVE",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152023428",
"telephone_number": "412-734-6030",
"fax_number": "412-734-6881"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALLEGHENY CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2010-10-27",
"last_updated": "2016-04-08",
"status": "A",
"authorized_official_last_name": "BENTON",
"authorized_official_first_name": "PATRICK",
"authorized_official_title_or_position": "PROVIDER CREDENTIALING SPECIALIST",
"authorized_official_telephone_number": "412-330-5015"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1007317140375",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Suburban Occupational Therapy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Pittsburgh, PA
- Allegheny Clinic (AGH Medical Oncology)
- Allegheny Clinic
- Allegheny Clinic (AHN Primary Care Mobile Clinic)
- Allegheny Clinic (AHN Dermatology)
- Allegheny Clinic (Primary Care Northside)
- Allegheny Clinic (Center for Inclusion Health-Ambulatory)
- Allegheny Clinic (The Center for Complementary & Integrative Health)
- Allegheny Clinic (AGH Neurosurgery)
- Allegheny Clinic (AHN Otolaryngology)
- Allegheny Clinic (Agh Picu)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2016; 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.