Nicole Venturino, OTD, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OC018544 Issued in PA

Practice address

1159 Bayberry Dr
Canonsburg, PA 15317-4992

Phone

(412) 400-1476

NPI assigned

Feb 9, 2024

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

Other names 1

• Mrs. Nicole Brown Other name

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.

• Neuroaxis Rehabilitation Services

  • Professional Counselor
  • Canonsburg, PA
  • NPI 1316887920
  NPD (past)

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

{
    "created_epoch": "1707436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707436800000",
    "number": "1386408367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4015 CROSS CREEK CIR",
            "city": "VALENCIA",
            "state": "PA",
            "postal_code": "160591901",
            "telephone_number": "412-400-1476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1159 BAYBERRY DR",
            "city": "CANONSBURG",
            "state": "PA",
            "postal_code": "153174992",
            "telephone_number": "412-400-1476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VENTURINO",
        "first_name": "NICOLE",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-09",
        "last_updated": "2024-02-09",
        "certification_date": "2024-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC018544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "BROWN",
            "prefix": "MRS.",
            "credential": "OTD, OTR/L",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Manisha Upadhaya
• Paul M Urban, DMD
• Corey Vansickle, LPC
• Vaphs
• Christina F Varner, OT
• Vibrance Counseling LLC
• Anne-Marie Viestra, R.PH.
• Martin Alejandro Fermin Violago Jr., M.D.
• Shannon Vissman, DPT
• Victoria Vitullo, MA, CRC, LPC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2024; 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.