Stephanie Renee Piacente

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OC012400 Issued in PA

Practice address

750 Rear State Route 93
Sybertsville, PA 18251

Phone

(570) 708-2525

Fax

(570) 788-5722

NPI assigned

Dec 5, 2017

Last updated

Sep 3, 2019By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1512432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567468800000",
    "number": "1386159085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 SNOW RIDGE CIR",
            "city": "ZION GROVE",
            "state": "PA",
            "postal_code": "179859305",
            "telephone_number": "570-985-6086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 REAR STATE ROUTE 93",
            "city": "SYBERTSVILLE",
            "state": "PA",
            "postal_code": "18251",
            "telephone_number": "570-708-2525",
            "fax_number": "570-788-5722"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23 Faith Dr",
            "address_purpose": "LOCATION",
            "city": "Hazleton",
            "state": "PA",
            "postal_code": "182029101",
            "country_code": "US",
            "telephone_number": "570-708-2525",
            "fax_number": "570-788-5722",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PIACENTE",
        "first_name": "STEPHANIE",
        "middle_name": "RENEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-05",
        "last_updated": "2019-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC012400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Occupational Therapist in Sybertsville, PA
• Providers in Sybertsville, PA by specialty
• Occupational Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2019; 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.