Individual provider Active NPI

Joan M Scacciaferro, OT

  • Occupational Therapist
  • Saint Louis, MO
National Provider Identifier
1780147819
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
2015001142 Issued in MO
Practice address
4240 Duncan Ave
Dept Occupational Therapy, Ste 120
Saint Louis, MO 63110-1101
Phone
(314) 286-1940
Fax
(314) 286-1473
NPI assigned
Apr 6, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

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 2015001142 MO Primary

Addresses

Primary practice location

4240 Duncan Ave
Dept Occupational Therapy, Ste 120
Saint Louis, MO 63110-1101

Mailing address

PO Box 7412011
Chicago, IL 60674-2011
Phone (314) 286-1940

Other identifiers 1

IdentifierTypeStateIssuer
470069734MedicaidMO

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Washington University

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190606002814 MO Practitioner - Occupational Therapist in Private Practice 8921331976 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Washington UniversityGroup PAC ID 9830008770, shared by 49 NPIs, 2,968 clinicians

Practice addresses (Care Compare)

4444 Forest Park Ave
Suite 1210
Saint Louis, MO 63108-2212
Phone (314) 286-1940

Merit-based Incentive Payment System (MIPS)

Final score
84.2 of 100Reported as group
Quality
71.6
Promoting interoperability
100
Improvement activities
40
Cost
75.75

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Washington University Occupational Therapist CurrentSince Jul 1, 2019 Accepting new patients
Washington University CurrentSince Jul 1, 2019 Accepting new patients
Washington University Occupational Therapist CurrentSince Mar 1, 2024 Accepting new patients
Washington University Past Accepting new patients

Locations

4240 Duncan Ave
Ste 120
Saint Louis, MO 63110

4444 Forest Park Ave
Ste 120
Saint Louis, MO 63108
Phone (314) 286-1495

4455 Duncan Ave
Saint Louis, MO 63110
Phone (314) 658-3800

1 Barnes Hospital Plz
Saint Louis, MO 63110
Phone (314) 362-9170

4444 Forest Park Ave
#8505
Saint Louis, MO 63108
Phone (314) 286-1612

4444 Forest Park Ave
Saint Louis, MO 63108
Phone (314) 286-1600

4444 Forest Park Ave
Ste 2206
Saint Louis, MO 63108

4444 Forest Park Ave
Ste 1210
Saint Louis, MO 63108

4444 Forest Park Ave
#8502
Saint Louis, MO 63108
Phone (314) 286-1430

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1554508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1780147819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7412011",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606742011",
            "telephone_number": "314-286-1940",
            "fax_number": "314-286-1473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4240 DUNCAN AVE",
            "address_2": "DEPT OCCUPATIONAL THERAPY, STE 120",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631101101",
            "telephone_number": "314-286-1940",
            "fax_number": "314-286-1473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCACCIAFERRO",
        "first_name": "JOAN",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-06",
        "last_updated": "2025-04-17",
        "certification_date": "2020-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": "2015001142",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "470069734",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "Y",
            "affiliationName": "Washington University",
            "address_1": "4240 Duncan Ave",
            "address_2": "Dept Occupational Therapy, Ste 120",
            "city": "Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631101101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.