Individual provider Active NPI

John Wilczek

  • Occupational Therapist
  • Greensburg, PA
National Provider Identifier
1467062745
Registry record updated Oct 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OC005317L Issued in PA
Practice address
118 Nature Park Rd
Greensburg, PA 15601-6960
Phone
(724) 689-0571
Fax
(724) 689-0560
NPI assigned
Aug 3, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OC005317L PA Primary

Addresses

Primary practice location

118 Nature Park Rd
Greensburg, PA 15601-6960

Mailing address

118 Nature Park Rd
Greensburg, PA 15601-6960
Phone (724) 689-0571

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jwilczek136247@direct.ahn.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200810003730 PA Practitioner - Occupational Therapist in Private Practice 1052736899 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allegheny ClinicGroup PAC ID 5395649586, 2,313 clinicians

Practice addresses (Care Compare)

118 Nature Park Rd
Ahn Therapy Services
Greensburg, PA 15601-6960
Phone (724) 689-0571

Merit-based Incentive Payment System (MIPS)

Final score
93.9 of 100Reported as apm
Quality
85.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OC005317LPAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Allegheny Clinic Current Accepting new patients
Allegheny Clinic CurrentSince May 6, 2020 Accepting new patients
Allegheny Clinic CurrentSince May 6, 2020 Accepting new patients

Locations

118 Nature Park Rd
Greensburg, PA 15601
Phone (724) 689-0571

62 Greenbriar Dr
Ste 1
Leechburg, PA 15656
Phone (724) 845-7765

4 Allegheny Ctr
Fl 7
Pittsburgh, PA 15212

Interoperability endpoints

  • Direct secure messaging: jwilczek136247@direct.ahn.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1596412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602633600000",
    "number": "1467062745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 NATURE PARK RD",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156016960",
            "telephone_number": "724-689-0571",
            "fax_number": "724-689-0560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 NATURE PARK RD",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156016960",
            "telephone_number": "724-689-0571",
            "fax_number": "724-689-0560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILCZEK",
        "first_name": "JOHN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-03",
        "last_updated": "2020-10-14",
        "certification_date": "2020-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC005317L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jwilczek136247@direct.ahn.org",
            "affiliation": "N",
            "address_1": "118 Nature Park Rd",
            "city": "Greensburg",
            "state": "PA",
            "country_code": "US",
            "postal_code": "156016960",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greensburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.