Anna Prendergast, OT

Primary specialty

SpecialistTaxonomy code 174400000X

License

OC018562 Issued in PA

Practice address

625 Lincoln Ave Ste 207
N Charleroi, PA 15022-2451

Phone

(724) 483-4263

Fax

(724) 483-3154

NPI assigned

Aug 3, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Orthopedic and Sports Physical Therapy Associates

  • Occupational Therapist
  • Connellsville, PA
  • NPI 1376947143
  NPD (past)
• Orthopedic and Sports Physical Therapy Assoc Inc

  • Occupational Therapist
  • Morgantown, WV
  • NPI 1558791020
  NPD (past)

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

{
    "created_epoch": "1659484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659484800000",
    "number": "1346977014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 LINCOLN AVE STE 209",
            "city": "N CHARLEROI",
            "state": "PA",
            "postal_code": "150222451",
            "telephone_number": "724-483-2159",
            "fax_number": "724-489-0282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 LINCOLN AVE STE 207",
            "city": "N CHARLEROI",
            "state": "PA",
            "postal_code": "150222451",
            "telephone_number": "724-483-4263",
            "fax_number": "724-483-3154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRENDERGAST",
        "first_name": "ANNA",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-03",
        "last_updated": "2022-08-03",
        "certification_date": "2022-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "OC018562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.osptainc.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "625 Lincoln Ave Ste 207",
            "city": "N Charleroi",
            "state": "PA",
            "country_code": "US",
            "postal_code": "150222451",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.osptainc.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "625 Lincoln Ave Ste 207",
            "city": "N Charleroi",
            "state": "PA",
            "country_code": "US",
            "postal_code": "150222451",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.osptainc.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "625 Lincoln Ave Ste 207",
            "city": "N Charleroi",
            "state": "PA",
            "country_code": "US",
            "postal_code": "150222451",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Clayton M. Anderson, Jr. O.D.
• Ashley Conjeski, OT
• Rachel Falls, SP
• Laura M Henninger, PT
• Kenneth Lentz, MD

• Specialist in N Charleroi, PA
• Providers in N Charleroi, PA by specialty
• Specialist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2022; 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.