Individual provider Active NPI

William J Piccuta, CRT

  • Certified Respiratory Therapist
  • Beaver, PA
National Provider Identifier
1376217265
Registry record updated Aug 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Respiratory TherapistTaxonomy code 227800000X
License
YM015310 Issued in PA
Practice address
1701 3Rd St Ste 4
Beaver, PA 15009-2432
Phone
(878) 207-2192
Fax
(878) 207-2193
NPI assigned
Aug 4, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Respiratory Therapist 227800000X YM015310 PA Primary

Addresses

Primary practice location

1701 3Rd St Ste 4
Beaver, PA 15009-2432

Mailing address

200 Renaissance Dr Ste 103
Butler, PA 16001-7612
Phone (724) 256-9606

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
YM015310PAMDCertified Respiratory Therapist

NPI Registry JSON

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

{
    "created_epoch": "1628035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628035200000",
    "number": "1376217265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 RENAISSANCE DR STE 103",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160017612",
            "telephone_number": "724-256-9606",
            "fax_number": "724-256-9609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 3RD ST STE 4",
            "city": "BEAVER",
            "state": "PA",
            "postal_code": "150092432",
            "telephone_number": "878-207-2192",
            "fax_number": "878-207-2193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICCUTA",
        "first_name": "WILLIAM",
        "middle_name": "J",
        "credential": "CRT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-04",
        "last_updated": "2021-08-04",
        "certification_date": "2021-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "227800000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Certified",
            "state": "PA",
            "license": "YM015310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaver, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.