Active NPI
Nicholas McConnell
- Occupational Therapist
- Martinsburg, PA
National Provider Identifier
1891561304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OC019629
- Practice address
- 437 Givler Dr
Martinsburg, PA 16662-1635 - Phone
- (814) 793-3728
- NPI assigned
- Nov 27, 2023
- Sex
- Male
- 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 | OC019629 | PA | Primary |
Addresses
Primary practice location
437 Givler Dr
Martinsburg, PA 16662-1635
Mailing address
2206 Bigler Ave
PO Box 325
Northern Cambria, PA 15714
Phone (570) 390-0416
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OC019629 | PA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1891561304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2206 BIGLER AVE",
"address_2": "PO BOX 325",
"city": "NORTHERN CAMBRIA",
"state": "PA",
"postal_code": "15714",
"telephone_number": "570-390-0416"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "437 GIVLER DR",
"city": "MARTINSBURG",
"state": "PA",
"postal_code": "166621635",
"telephone_number": "814-793-3728"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCONNELL",
"first_name": "NICHOLAS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-11-27",
"last_updated": "2023-11-27",
"certification_date": "2023-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "PA",
"license": "OC019629",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Martinsburg, PA
- Douglas C Kurtz, GENERAL DENTIST
- Douglas Christopher Kurtz, D.D.S.
- Lunda E. Weaver, MD
- Janelle Marie Hoover Marino, RN
- Nicholl Lynne Marshall, CRNP, PMHNP-BC
- Reagan Metzger, COTA/L
- Trisha Dawn Mickle, PTA
- Traci Dawn Miller, COTA
- Chloe Elizabeth Moyer, PTA
- Murray S Smith Family and Laser Dentistry Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.