Individual provider Active NPI

Savanna Mae Ciaccio, OTR/L

  • Occupational Therapist
  • Raleigh, NC
National Provider Identifier
1891375192
Registry record updated Aug 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
16988 Issued in NC
Practice address
10010 Falls of Neuse Rd
Raleigh, NC 27614-8494
Phone
(919) 714-6184
NPI assigned
Apr 11, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 5536 AL
Occupational Therapist 225X00000X 16988 NC Primary

Addresses

Primary practice location

10010 Falls of Neuse Rd
Raleigh, NC 27614-8494

Mailing address

1420 10TH St S Apt 216
Birmingham, AL 35205-4590

Other practice location 1

2050 Gadsden Hwy Ste 104
Birmingham, AL 35235-3260
Phone (205) 655-7231

Other practice location 2

805 Saint Vincents Dr Ste 100
Birmingham, AL 35205-1638
Phone (205) 939-3699

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20211108002842 AL Practitioner - Occupational Therapist in Private Practice 0547659898 Reassigns benefits to 1 organization
I20240808000276 NC Practitioner - Occupational Therapist in Private Practice 0547659898 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wakemed Specialists Group LLCGroup PAC ID 2466788377, 868 clinicians

Practice addresses (Care Compare)

110 Kildaire Park Dr
Cary, NC 27518-8161
Phone (919) 859-1136

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16988NCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Wakemed Specialists Group, LLC Current Accepting new patients
Wakemed Specialists Group LLC CurrentSince Aug 19, 2024 Accepting new patients
Wakemed Specialists Group LLC Occupational Therapist CurrentSince Aug 19, 2024 Accepting new patients
STV Sports Medicine & Orthopedics LLC CurrentSince Nov 1, 2021 Accepting new patients
STV Sports Medicine & Orthopedics LLC CurrentSince Nov 1, 2021 Accepting new patients

Locations

805 Saint Vincents Dr
Ste 100
Birmingham, AL 35205

7201 Happy Hollow Rd
Ste 202A
Trussville, AL 35173

110 Kildaire Park Dr
Cary, NC 27518
Phone (919) 235-0616

3000 New Bern Ave
Raleigh, NC 27610
Phone (919) 350-7000

10010 Falls of Neuse Rd
Raleigh, NC 27614
Phone (919) 350-1380

Interoperability endpoints

  • Direct secure messaging: sciaccio@andrewssm.emadirect.md

Organizations & group practices 5

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": "1618099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722816000000",
    "number": "1891375192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 10TH ST S APT 216",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352054590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10010 FALLS OF NEUSE RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276148494",
            "telephone_number": "919-714-6184"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2050 Gadsden Hwy Ste 104",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352353260",
            "country_code": "US",
            "telephone_number": "205-655-7231",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "805 Saint Vincents Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352051638",
            "country_code": "US",
            "telephone_number": "205-939-3699",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CIACCIO",
        "first_name": "SAVANNA",
        "middle_name": "MAE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-11",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AL",
            "license": "5536",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "16988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2024; 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.