Individual provider Active NPI

Jillian Masciantonio

  • Occupational Therapist
  • Jeannette, PA
National Provider Identifier
1699278556
Registry record updated May 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OC015584 Issued in PA
Practice address
1153 Claridge Elliott Rd
Jeannette, PA 15644-4537
Phone
(724) 787-0009
Fax
(878) 332-4467
NPI assigned
Mar 16, 2018
Last updated
May 4, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2023

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 OC015584 PA Primary

Addresses

Primary practice location

1153 Claridge Elliott Rd
Jeannette, PA 15644-4537

Mailing address

1153 Claridge Elliott Rd
Jeannette, PA 15644-4537
Phone (724) 787-0009

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jmasciantonio203156@direct.ahn.org

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
OC015584PAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Making Strides LLC Occupational Therapist CurrentSince May 7, 2023 Accepting new patients
Making Strides Foundation Corporation Occupational Therapist CurrentSince May 7, 2023 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jmasciantonio203156@direct.ahn.org

Organizations & group practices 2

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": "1521158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683158400000",
    "number": "1699278556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1153 CLARIDGE ELLIOTT RD",
            "city": "JEANNETTE",
            "state": "PA",
            "postal_code": "156444537",
            "telephone_number": "724-787-0009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1153 CLARIDGE ELLIOTT RD",
            "city": "JEANNETTE",
            "state": "PA",
            "postal_code": "156444537",
            "telephone_number": "724-787-0009",
            "fax_number": "878-332-4467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASCIANTONIO",
        "first_name": "JILLIAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-16",
        "last_updated": "2023-05-04",
        "certification_date": "2023-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC015584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jmasciantonio203156@direct.ahn.org",
            "affiliation": "N",
            "address_1": "12311 Perry Hwy",
            "city": "Wexford",
            "state": "PA",
            "country_code": "US",
            "postal_code": "150908344",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jeannette, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2023; 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.