Individual provider Active NPI

Destanee Hazuga, OTR/L

  • Low Vision Occupational Therapist
  • Pittsburgh, PA
National Provider Identifier
1659164069
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Low Vision Occupational TherapistTaxonomy code 225XL0004X
License
OC020094 Issued in PA
Practice address
1816 Locust St
Pittsburgh, PA 15219-5920
Phone
(412) 368-4400
NPI assigned
May 28, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Low Vision Occupational Therapist 225XL0004X OC020094 PA Primary

Addresses

Primary practice location

1816 Locust St
Pittsburgh, PA 15219-5920

Mailing address

1816 Locust St
Pittsburgh, PA 15219-5920
Phone (412) 368-4400

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250626003011 PA Practitioner - Occupational Therapist in Private Practice 2668984345 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OC020094PAMDLow Vision Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Blind & Vision Rehabilitation Services CurrentSince Apr 10, 2025 Accepting new patients

Locations

1816 Locust St
Pittsburgh, PA 15219
Phone (412) 368-4080

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/bvrspittsburgh/r4/

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1748390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748390400000",
    "number": "1659164069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1816 LOCUST ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152195920",
            "telephone_number": "412-368-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1816 LOCUST ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152195920",
            "telephone_number": "412-368-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAZUGA",
        "first_name": "DESTANEE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-28",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XL0004X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Low Vision",
            "state": "PA",
            "license": "OC020094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2025; 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.