Breanna C Lucykanish

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OP008525 Issued in PA

Practice address

2011 Scotland Ave
Chambersburg, PA 17201-1451

Phone

(717) 262-2000

NPI assigned

Apr 29, 2021

Last updated

Apr 29, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1619654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619654400000",
    "number": "1265015036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2202 CRIDERS CHURCH RD",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172028055",
            "telephone_number": "717-635-1134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2011 SCOTLAND AVE",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172011451",
            "telephone_number": "717-262-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCYKANISH",
        "first_name": "BREANNA",
        "middle_name": "C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-29",
        "last_updated": "2021-04-29",
        "certification_date": "2021-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "PA",
            "license": "OP008525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew J Lu, M.D.
• Angela Marie Lucarini-Orndorf, D.M.D.
• Heidi Jo Lucas, RD, LDN
• Margaret Lucas
• James A Luck, MSPT
• Ludwick Eye Center
• Ludwick Eye Center, LTD
• Ludwick Laser & Surgery Center, LLC
• David John Ludwick, M.D.
• Wesley Joseph Luke

• Occupational Therapy Assistant in Chambersburg, PA
• Providers in Chambersburg, PA by specialty
• Occupational Therapy Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.

Verify at the official NPI Registry.