Cory Logan Donahue, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OP008892 Issued in PA

Practice address

300 Center Ave
Waynesburg, PA 15370-8243

Phone

(724) 852-2020

NPI assigned

Mar 28, 2019

Last updated

Mar 28, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1553731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553731200000",
    "number": "1699236067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 ARN AVE",
            "city": "TILTONSVILLE",
            "state": "OH",
            "postal_code": "439631102",
            "telephone_number": "740-381-5105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 CENTER AVE",
            "city": "WAYNESBURG",
            "state": "PA",
            "postal_code": "153708243",
            "telephone_number": "724-852-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONAHUE",
        "first_name": "CORY",
        "middle_name": "LOGAN",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-28",
        "last_updated": "2019-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "PA",
            "license": "OP008892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darrell L. Donley, M.D.
• Nicholas Dayich, MS, NCC, LPC
• Amy R Diamond, MD
• Donna Jean Dire, LCSW
• Thomas Doane, PHARMD
• Darrell Lee Donley, M.D.
• Robyne Drew, LPC
• Travis Duncan, PSYD
• Dva Healthcare of Pennsylvania LLC (Waynesburg Dialysis)
• Andrew Quintin Eddy, PHARMD

• Occupational Therapy Assistant in Waynesburg, PA
• Providers in Waynesburg, PA by specialty
• Occupational Therapy Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2019; 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.