Individual provider Active NPI

Michele Coddington, OTR/L

  • Occupational Therapist
  • Rostraver Township, PA
National Provider Identifier
1699191379
Registry record updated Apr 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OC002123L Issued in PA
Practice address
2115 Trebella Cir
Rostraver Township, PA 15012-3511
Phone
(724) 243-1333
Fax
(724) 243-1144
NPI assigned
Mar 5, 2014
Last updated
Apr 8, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OC002123L PA Primary

Addresses

Primary practice location

2115 Trebella Cir
Rostraver Township, PA 15012-3511

Mailing address

1618 Overdale Dr
West Homestead, PA 15120-1311
Phone (412) 464-0432

Other practice location 1

491 E 8th Ave
Homestead, PA 15120-1901
Phone (412) 464-2101 ext. 2104

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

LicenseStateTypeSpecialty
OC002123LPAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pittsburgh Care Partnership, Inc. PastSince Apr 11, 2021 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: communitylife@upmcdirect.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1393977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617840000000",
    "number": "1699191379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1618 OVERDALE DR",
            "city": "WEST HOMESTEAD",
            "state": "PA",
            "postal_code": "151201311",
            "telephone_number": "412-464-0432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 TREBELLA CIR",
            "city": "ROSTRAVER TOWNSHIP",
            "state": "PA",
            "postal_code": "150123511",
            "telephone_number": "724-243-1333",
            "fax_number": "724-243-1144"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "491 E 8th Ave",
            "address_purpose": "LOCATION",
            "city": "Homestead",
            "state": "PA",
            "postal_code": "151201901",
            "country_code": "US",
            "telephone_number": "412-464-2101 x2104",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CODDINGTON",
        "first_name": "MICHELE",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-05",
        "last_updated": "2021-04-08",
        "certification_date": "2021-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC002123L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rostraver Township, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2021; 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.