Ellen Elyse Petronic, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OC012531 Issued in PA

Practice address

5 Saint Francis Way
Cranberry TWP, PA 16066-5119

Phone

(724) 772-5350

NPI assigned

Sep 20, 2012

Sex

Female

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

Specialty

Occupational Therapist in Private Practice

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fox Rehabilitation Services IncGroup PAC ID 0143133009, 1,169 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Fox Rehabilitation Services Inc

  • Physical Therapist
  • Wilmington, DE
  • NPI 1326092503

  Occupational Therapist, PA

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1348099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525910400000",
    "number": "1841541646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 SAINT FRANCIS WAY",
            "city": "CRANBERRY TWP",
            "state": "PA",
            "postal_code": "160665119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 SAINT FRANCIS WAY",
            "city": "CRANBERRY TWP",
            "state": "PA",
            "postal_code": "160665119",
            "telephone_number": "724-772-5350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETRONIC",
        "first_name": "ELLEN",
        "middle_name": "ELYSE",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-20",
        "last_updated": "2018-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC012531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ingrid Peeters
• Stephen J Pennell, DC
• Eric A Pennock, MD
• Pennsylvania CVS Pharmacy LLC
• Jordan Pentes
• Alexandra Peworchik, RDN
• Physician Landing Zone, P.C.
• Laura Lynn Pierce, OTR/L
• Pittsburgh Foot and Hand Center
• Pittsburgh Pain Physicians

• Occupational Therapist in Cranberry TWP, PA
• Providers in Cranberry TWP, PA by specialty
• Occupational Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2018; 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.