Individual provider Active NPI

Annamarie Zucconi, OTRL

  • Occupational Therapist
  • Pittsburgh, PA
National Provider Identifier
1902954696
Registry record updated Jan 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OC007089L Issued in PA
Practice address
100 S Jackson Ave
Pittsburgh, PA 15202-3428
Phone
(412) 734-6030
Fax
(412) 734-6881
NPI assigned
Jan 8, 2007
Last updated
Jan 14, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 14, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT005949 OH
Occupational Therapist 225X00000X 1109 WV
Occupational Therapist 225X00000X OC007089L PA Primary

Addresses

Primary practice location

100 S Jackson Ave
Pittsburgh, PA 15202-3428

Mailing address

100 S Jackson Ave
Pittsburgh, PA 15202-3428
Phone (412) 734-6030

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210222000864 PA Practitioner - Occupational Therapist in Private Practice 8224443411 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT005949OHMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Allegheny Clinic Current Accepting new patients
Allegheny Clinic CurrentSince Oct 16, 2020 Accepting new patients
Allegheny Clinic CurrentSince Oct 16, 2020 Accepting new patients

Locations

62 Greenbriar Dr
Ste 1
Leechburg, PA 15656
Phone (724) 845-7765

100 S Jackson Ave
Pittsburgh, PA 15202
Phone (412) 734-6030

4 Allegheny Ctr
Fl 7
Pittsburgh, PA 15212

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610582400000",
    "number": "1902954696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 S JACKSON AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152023428",
            "telephone_number": "412-734-6030",
            "fax_number": "412-734-6881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S JACKSON AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152023428",
            "telephone_number": "412-734-6030",
            "fax_number": "412-734-6881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZUCCONI",
        "first_name": "ANNAMARIE",
        "credential": "OTRL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2021-01-14",
        "certification_date": "2021-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OH",
            "license": "OT005949",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WV",
            "license": "1109",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC007089L",
            "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 Jan 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.