Active NPI
Andrew Joseph Autovino, OTR
- Occupational Therapist
- Macungie, PA
National Provider Identifier
1700091303
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OP000120L
- Practice address
- 1718 Spring Creek Rd
Macungie, PA 18062-9784 - Phone
- (610) 366-0500
- NPI assigned
- May 14, 2007
- Sex
- Male
- Sole proprietor
- No
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 Therapist | 225X00000X | OP000120L | PA | Primary |
Addresses
Primary practice location
1718 Spring Creek Rd
Macungie, PA 18062-9784
Mailing address
775 Hunter Dr
Pennsburg, PA 18073-1574
Phone (610) 366-0500
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
| License | State | Type | Specialty |
|---|---|---|---|
| OP000120L | PA | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1700091303",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "775 HUNTER DR",
"city": "PENNSBURG",
"state": "PA",
"postal_code": "180731574",
"telephone_number": "610-366-0500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1718 SPRING CREEK RD",
"city": "MACUNGIE",
"state": "PA",
"postal_code": "180629784",
"telephone_number": "610-366-0500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AUTOVINO",
"first_name": "ANDREW",
"middle_name": "JOSEPH",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "PA",
"license": "OP000120L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.