Active NPI
Janet McCutchen
- Occupational Therapy Assistant
- Youngstown, OH
National Provider Identifier
1578941944
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- OTA05843
- Practice address
- 1 University PLZ
Youngstown, OH 44555-0001 - Phone
- (330) 941-1927
- NPI assigned
- May 18, 2015
- Last updated
- May 18, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 Therapy Assistant | 224Z00000X | OTA05843 | OH | Primary |
Addresses
Primary practice location
1 University PLZ
Youngstown, OH 44555-0001
Mailing address
4733 Douglas Rd
Downers Grove, IL 60515-3815
Phone (215) 630-0123
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 13557287 | Other | CAQH |
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 |
|---|---|---|---|
| OTA05843 | OH | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1431907200000",
"number": "1578941944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4733 DOUGLAS RD",
"city": "DOWNERS GROVE",
"state": "IL",
"postal_code": "605153815",
"telephone_number": "215-630-0123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 UNIVERSITY PLZ",
"city": "YOUNGSTOWN",
"state": "OH",
"postal_code": "445550001",
"telephone_number": "330-941-1927"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCUTCHEN",
"first_name": "JANET",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-05-18",
"last_updated": "2015-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "OH",
"license": "OTA05843",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "13557287",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Youngstown, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.