Individual provider Active NPI

Sharon Marie Gwinn, PHD, OTR/L, ABDA

  • Occupational Therapist
  • Lower Burrell, PA
National Provider Identifier
1740211432
Registry record updated Aug 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OC003428L Issued in PA
Practice address
2501 Leechburg Rd
Suite a
Lower Burrell, PA 15068-3060
Phone
(724) 304-0030
Fax
(724) 304-0035
NPI assigned
Jul 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2007

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 OC003428L PA Primary

Addresses

Primary practice location

2501 Leechburg Rd
Suite a
Lower Burrell, PA 15068-3060

Mailing address

941 Mellon St
Pittsburgh, PA 15206-2129
Phone (724) 304-0030

Other identifiers 6

IdentifierTypeStateIssuer
2195109OtherPAFIRST HEALTH PROVIDER NUM
3446732OtherPAAETNA HMO PROVIDER NUMBER
01946729MedicaidPA
5121792OtherPAAETNA PPO PROVIDER NUMBER
1585451OtherPAHIGHMARK BC/BS PROVIDER N
237320OtherPAHEALTH AMERICA PROVIDER N

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
Credentials
Doctor of Philosophy

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187049600000",
    "number": "1740211432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "941 MELLON ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152062129",
            "telephone_number": "724-304-0030",
            "fax_number": "724-304-0035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 LEECHBURG RD",
            "address_2": "SUITE A",
            "city": "LOWER BURRELL",
            "state": "PA",
            "postal_code": "150683060",
            "telephone_number": "724-304-0030",
            "fax_number": "724-304-0035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GWINN",
        "first_name": "SHARON",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PHD, OTR/L, ABDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-05",
        "last_updated": "2007-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC003428L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH PROVIDER NUM",
            "identifier": "2195109",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO PROVIDER NUMBER",
            "identifier": "3446732",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01946729",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO PROVIDER NUMBER",
            "identifier": "5121792",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BC/BS PROVIDER N",
            "identifier": "1585451",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH AMERICA PROVIDER N",
            "identifier": "237320",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lower Burrell, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.

Verify at the official NPI Registry.