Rebecca Ann Piccolo, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OC004805L Issued in PA

Practice address

763 Johnsonburg Rd
Saint Marys, PA 15857-3417

Phone

(814) 788-8819

Fax

(814) 788-8091

NPI assigned

Feb 21, 2008

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

Enrolled in PA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Elk Regional Professional Group Inc

  • Rehabilitation Clinic/Center
  • Kane, PA
  • NPI 1982073854
  Medicare reassignment
• Elk Regional Professional Group, Inc.

  • Nurse Practitioner
  • Ridgway, PA
  • NPI 1982668885
  NPD

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

{
    "created_epoch": "1203552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203552000000",
    "number": "1467621649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "763 JOHNSONBURG RD",
            "city": "SAINT MARYS",
            "state": "PA",
            "postal_code": "158573417",
            "telephone_number": "814-788-8819",
            "fax_number": "814-788-8091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "763 JOHNSONBURG RD",
            "city": "SAINT MARYS",
            "state": "PA",
            "postal_code": "158573417",
            "telephone_number": "814-788-8819",
            "fax_number": "814-788-8091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICCOLO",
        "first_name": "REBECCA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-21",
        "last_updated": "2008-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC004805L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Pearsall, OTR/L
• Penn Highlands Home Medical Equipment LLC
• Penn North Centers for Advanced Wound Care Inc
• Taylor Peterson, PA-C
• Phoenix Rehabilitation and Health Services, Inc.
• Anne Sorg Pistner
• Gina Pistner, MS. CCC-SLP
• John Radford, M.D.
• Casey L. Reed, M.S. SPEECH THERAPY
• Regional Ambulatory Surgery Center, LLC

• Occupational Therapist in Saint Marys, PA
• Providers in Saint Marys, 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 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.