Edward John Mihelcic, PH.D., OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OC002483L Issued in PA

Practice address

25 Colony Blvd Ste 104
Blairsville, PA 15717-7971

Phone

(247) 459-1770

Fax

(247) 459-1780

NPI assigned

Dec 15, 2008

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

Enrolled in PA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/10717/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Indiana Total Therapy Inc

  • Physical Therapist
  • Indiana, PA
  • NPI 1306081823

  Occupational Therapist

  Medicare reassignment NPD
• Indiana Total Therapy

  • Physical Therapist
  • Homer City, PA
  • NPI 1568694719

  Occupational Therapist

  NPD

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

{
    "created_epoch": "1229299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692662400000",
    "number": "1760627178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 KOLTER DR",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157013570",
            "telephone_number": "724-357-7333",
            "fax_number": "724-835-7172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 COLONY BLVD STE 104",
            "city": "BLAIRSVILLE",
            "state": "PA",
            "postal_code": "157177971",
            "telephone_number": "247-459-1770",
            "fax_number": "247-459-1780"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 Irmc Dr Ste 120",
            "address_purpose": "LOCATION",
            "city": "Indiana",
            "state": "PA",
            "postal_code": "157013674",
            "country_code": "US",
            "telephone_number": "724-357-7068",
            "fax_number": "724-357-6984",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2010 Shelly Dr",
            "address_purpose": "LOCATION",
            "city": "Indiana",
            "state": "PA",
            "postal_code": "157012388",
            "country_code": "US",
            "telephone_number": "724-349-2276",
            "fax_number": "724-801-8558",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIHELCIC",
        "first_name": "EDWARD",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "PH.D., OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-12-15",
        "last_updated": "2023-08-22",
        "certification_date": "2023-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC002483L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan McCullough, LPN
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• Kayla Elizabeth Miller, LPC
• Mopa Group, LLC
• Cassie A Morris, FNP-C
• Lori Lynne Nagy, D.P.T.
• Matthew L. Nettleton, MD

• Occupational Therapist in Blairsville, PA
• Providers in Blairsville, PA by specialty
• Occupational Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.