Individual provider Active NPI

Roberta Ciocco, OT

  • Occupational Therapist
  • New Britain, PA
National Provider Identifier
1750441846
Registry record updated Apr 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OC000111L Issued in PA
Practice address
924 Town Ctr
New Britain, PA 18901-5182
Phone
(215) 340-2216
NPI assigned
Dec 11, 2006
Last updated
Apr 28, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2009

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 OC000111L PA Primary

Addresses

Primary practice location

924 Town Ctr
New Britain, PA 18901-5182

Mailing address

924 Town Ctr
New Britain, PA 18901-5182
Phone (215) 340-2216

Other identifiers 4

IdentifierTypeStateIssuer
30013745MedicaidPA
01970493MedicaidPA
1356031OtherPABCBS
2423688OtherPAUNITED HEALTHCARE

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
OC000111LPAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kinetic Rehabilitation Services, P.C. Occupational Therapist PastSince Jan 1, 1990 Accepting new patients
Philadelphia Post-Acute Partners LLC Past Accepting new patients

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": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240876800000",
    "number": "1750441846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "924 TOWN CTR",
            "city": "NEW BRITAIN",
            "state": "PA",
            "postal_code": "189015182",
            "telephone_number": "215-340-2216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "924 TOWN CTR",
            "city": "NEW BRITAIN",
            "state": "PA",
            "postal_code": "189015182",
            "telephone_number": "215-340-2216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIOCCO",
        "first_name": "ROBERTA",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-11",
        "last_updated": "2009-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC000111L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30013745",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01970493",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1356031",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2423688",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Britain, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2009; 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.