Active NPI
Nicholas John Pugliese, MSOTR/L
- Occupational Therapist
- Plains, PA
National Provider Identifier
1487684510
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OC002867L
- Practice address
- 220 S River St
C/ Adult Services Unlimited T/R Riverside Rehab
Plains, PA 18705-1137 - Phone
- (570) 824-3444
- Fax
- (570) 824-4021
- NPI assigned
- Jul 4, 2006
- Last updated
- Jul 9, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OC002867L | PA | Primary |
Addresses
Primary practice location
220 S River St
C/ Adult Services Unlimited T/R Riverside Rehab
Plains, PA 18705-1137
Mailing address
220 S River St
C/ Adult Services Unlimited T/R Riverside Rehab
Plains, PA 18705-1137
Phone (570) 824-3444
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 814197 | Other | PA | FIRST PRIORITY IND.# |
| 1872840 | Medicaid | PA | |
| 2670614 | Other | PA | AETNA HMO INDIVIDUAL # |
| 50031762 | Other | PA | CAPITAL BLUE CROSS IND # |
| 372927 | Other | PA | BLUE SHIELD GROUP # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OC002867L | PA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1487684510",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 S RIVER ST",
"address_2": "C/ ADULT SERVICES UNLIMITED T/R RIVERSIDE REHAB",
"city": "PLAINS",
"state": "PA",
"postal_code": "187051137",
"telephone_number": "570-824-3444",
"fax_number": "570-824-4021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 S RIVER ST",
"address_2": "C/ ADULT SERVICES UNLIMITED T/R RIVERSIDE REHAB",
"city": "PLAINS",
"state": "PA",
"postal_code": "187051137",
"telephone_number": "570-824-3444",
"fax_number": "570-824-4021"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PUGLIESE",
"first_name": "NICHOLAS",
"middle_name": "JOHN",
"credential": "MSOTR/L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-04",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "PA",
"license": "OC002867L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST PRIORITY IND.#",
"identifier": "814197",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1872840",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO INDIVIDUAL #",
"identifier": "2670614",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BLUE CROSS IND #",
"identifier": "50031762",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD GROUP #",
"identifier": "372927",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Plains, PA
- Pediatrics 21, LLC
- Barry J Pernikoff, M.D.
- Eli Gerard Phillips
- Plains Volunteer Ambulance Association
- Melissa Katherine Prushinski, MSPT
- Raymond Khoudary MDPC
- Rehabclinics SPT Inc (NovaCare Rehabilitation)
- Jennifer Repshis, PAC
- Richard N. Langdon D.C.P.C. (Cross Valley Chiropractic Center)
- Rite Aid of Pennsylvania LLC (Rite Aid Pharmacy 01632)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.