Active NPI
Diane McKenzie, COTA/L
- Environmental Modification Occupational Therapy Assistant
- Pittsburgh, PA
National Provider Identifier
1972063139
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Environmental Modification Occupational Therapy Assistant
- License
- OP000668L
- Practice address
- 111 Perrymont Rd
Pittsburgh, PA 15237-5246 - Phone
- (412) 366-5600
- NPI assigned
- Mar 23, 2019
- 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 |
|---|---|---|---|---|
| Environmental Modification Occupational Therapy Assistant | 224ZE0001X | OP000668L | PA | Primary |
Addresses
Primary practice location
111 Perrymont Rd
Pittsburgh, PA 15237-5246
Mailing address
111 Perrymont Rd
Pittsburgh, PA 15237-5246
Phone (412) 366-5600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OP000668L | Other | PA | STATE LICENCE |
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 |
|---|---|---|---|
| OP000668L | PA | MD | Environmental Modification Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553299200000",
"number": "1972063139",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 PERRYMONT RD",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152375246",
"telephone_number": "412-366-5600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 PERRYMONT RD",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152375246",
"telephone_number": "412-366-5600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKENZIE",
"first_name": "DIANE",
"credential": "COTA/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-23",
"last_updated": "2019-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "224ZE0001X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant, Environmental Modification",
"state": "PA",
"license": "OP000668L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENCE",
"identifier": "OP000668L",
"state": "PA"
}
],
"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 Mar 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.