Stacy Lynn Szczukowski, OTR L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OC008369 Issued in PA

Practice address

5830 Meridian Rd
Gibsonia, PA 15044-9668

Phone

(724) 443-0700

Fax

(724) 443-4410

NPI assigned

Feb 15, 2007

Last updated

Dec 14, 2007By 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

Other identifiers 1

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": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197590400000",
    "number": "1477696904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 5TH ST",
            "address_2": "APT. 2",
            "city": "ASPINWALL",
            "state": "PA",
            "postal_code": "152152920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5830 MERIDIAN RD",
            "city": "GIBSONIA",
            "state": "PA",
            "postal_code": "150449668",
            "telephone_number": "724-443-0700",
            "fax_number": "724-443-4410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SZCZUKOWSKI",
        "first_name": "STACY",
        "middle_name": "LYNN",
        "credential": "OTR L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-15",
        "last_updated": "2007-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC008369",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS / HIGHMARK",
            "identifier": "1937628",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2007; 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.