Active NPI
Kimberly Davis Patro
- Occupational Therapist
- Pittsburgh, PA
National Provider Identifier
1841540556
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OC012375
- Practice address
- 200 Lothrop St
Pittsburgh, PA 15213-2536 - Phone
- (412) 648-6056
- NPI assigned
- Sep 11, 2012
- Sex
- Female
- 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 | OC012375 | PA | Primary |
Addresses
Primary practice location
200 Lothrop St
Pittsburgh, PA 15213-2536
Mailing address
200 Lothrop St
Pittsburgh, PA 15213-2536
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2010
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
3004 Quail Hollow Ter
Brookeville, MD 20833-2734
PO Box
Suite 393
Seekonk, MA 02771
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OC012375 | PA | MD | Occupational Therapist |
Organizations & group practices 1
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": "1347321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1347321600000",
"number": "1841540556",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 LOTHROP ST",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152132536"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 LOTHROP ST",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152132536",
"telephone_number": "412-648-6056"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATRO",
"first_name": "KIMBERLY",
"middle_name": "DAVIS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-11",
"last_updated": "2012-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "PA",
"license": "OC012375",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pittsburgh, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2012; 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.