Provider Demographics
NPI:1720038664
Name:KOSCINSKI, CARA NICOLE (OTR L)
Entity Type:Individual
Prefix:
First Name:CARA
Middle Name:NICOLE
Last Name:KOSCINSKI
Suffix:
Gender:F
Credentials:OTR L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1802 PIONEER DR
Mailing Address - Street 2:
Mailing Address - City:SEWICKLEY
Mailing Address - State:PA
Mailing Address - Zip Code:15143-8584
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:135 CUMBERLAND RD
Practice Address - Street 2:SUITE 105
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15237-5447
Practice Address - Country:US
Practice Address - Phone:412-364-1886
Practice Address - Fax:412-364-7120
Is Sole Proprietor?:No
Enumeration Date:2006-05-11
Last Update Date:2008-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC005312L225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1553259OtherGATEWAY HEALTH PLAN
PA202482350OtherHEALTH AMERICA
PA000000179093OtherUNISON HEALTH PLAN
PA001852888OtherOT HIGHMARK
PA1012454400001Medicaid
PA1720038664OtherNPI
PA7257673OtherAETNA
PA204151437OtherHEALTH AMERICA
PA001752798OtherINDIVIDUAL HIGHMARK