Individual provider Active NPI

Debra Lee Sevcik, COTA/L

  • Occupational Therapy Assistant
  • Uniontown, PA
National Provider Identifier
1376779728
Registry record updated May 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
OP006659 Issued in PA
Practice address
75 Hickle St
Uniontown, PA 15401-4350
Phone
(724) 437-9871
NPI assigned
May 29, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X OP006659 PA Primary

Addresses

Primary practice location

75 Hickle St
Uniontown, PA 15401-4350

Mailing address

75 Hickle St
Uniontown, PA 15401-4350
Phone (724) 437-9871

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
OP006659PAMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1243555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243555200000",
    "number": "1376779728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 HICKLE ST",
            "city": "UNIONTOWN",
            "state": "PA",
            "postal_code": "154014350",
            "telephone_number": "724-437-9871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 HICKLE ST",
            "city": "UNIONTOWN",
            "state": "PA",
            "postal_code": "154014350",
            "telephone_number": "724-437-9871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEVCIK",
        "first_name": "DEBRA",
        "middle_name": "LEE",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-29",
        "last_updated": "2009-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "PA",
            "license": "OP006659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Uniontown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2009; 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.