Active NPI
Diane Piccolino, COTA/L
- Occupational Therapy Assistant
- Kingston, PA
National Provider Identifier
1891663985
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- OP010743
- Practice address
- 569 Wyoming Ave
Kingston, PA 18704-3744 - Phone
- (570) 561-8374
- NPI assigned
- Oct 29, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 Therapy Assistant | 224Z00000X | OP010743 | PA | Primary |
Addresses
Primary practice location
569 Wyoming Ave
Kingston, PA 18704-3744
Mailing address
569 Wyoming Ave
Kingston, PA 18704-3744
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 |
|---|---|---|---|
| OP010743 | PA | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1761696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761696000000",
"number": "1891663985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "569 WYOMING AVE",
"city": "KINGSTON",
"state": "PA",
"postal_code": "187043744"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "569 WYOMING AVE",
"city": "KINGSTON",
"state": "PA",
"postal_code": "187043744",
"telephone_number": "570-561-8374"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PICCOLINO",
"first_name": "DIANE",
"credential": "COTA/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-10-29",
"last_updated": "2025-10-29",
"certification_date": "2025-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapy Assistant",
"state": "PA",
"license": "OP010743",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kingston, PA
- Kristopher Charles Petitto Sutton
- Nathaniel Fasika Petros, DMD
- Sherrie Lee Petrowski-McDade, LMT
- Phoenix Rehabilitation and Health Services, Inc.
- Loni Ann Picarella, MPS
- Pierce Counseling Associates, P.C.
- Pinnacle Rehabilitation Associates PC
- Anthony F Pittelli, D.M.D.
- Platinum Health at River Run LLC
- Platinum Private Duty
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.