Active NPI
Corrie Mancuso, MS, OTR/L
- Occupational Therapist
- Hunt Valley, MD
National Provider Identifier
1932560265
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 11039
- Practice address
- 307 International Cir Ste 100
Hunt Valley, MD 21030-1387 - Phone
- (774) 462-1097
- NPI assigned
- Mar 15, 2016
- Sex
- Female
- 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 | 11039 | MA | Primary |
Addresses
Primary practice location
307 International Cir Ste 100
Hunt Valley, MD 21030-1387
Mailing address
8 Skyview LN
Woburn, MA 01801-5260
Phone (860) 671-0222
Other names 1
- Corrie Scozzafava
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11039 | MA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458000000000",
"number": "1932560265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 SKYVIEW LN",
"city": "WOBURN",
"state": "MA",
"postal_code": "018015260",
"telephone_number": "860-671-0222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "307 INTERNATIONAL CIR STE 100",
"city": "HUNT VALLEY",
"state": "MD",
"postal_code": "210301387",
"telephone_number": "774-462-1097"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANCUSO",
"first_name": "CORRIE",
"credential": "MS, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-15",
"last_updated": "2016-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MA",
"license": "11039",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CORRIE",
"last_name": "SCOZZAFAVA",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Hunt Valley, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.