Provider Demographics
NPI:1952707424
Name:COTTON, TERRI
Entity Type:Individual
Prefix:MS
First Name:TERRI
Middle Name:
Last Name:COTTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:55 E AMANDA AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15210-1727
Mailing Address - Country:US
Mailing Address - Phone:216-512-2894
Mailing Address - Fax:412-223-9802
Practice Address - Street 1:55 E AMANDA AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15210-1727
Practice Address - Country:US
Practice Address - Phone:216-512-2894
Practice Address - Fax:412-223-9802
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-11
Last Update Date:2024-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH12JKC1-J67GIAD174200000X, 332U00000X
253Z00000X, 305S00000X, 372500000X, 372600000X, 376J00000X, 3747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
No174200000XOther Service ProvidersMeals
No253Z00000XAgenciesIn Home Supportive Care
No305S00000XManaged Care OrganizationsPoint of Service
No332U00000XSuppliersHome Delivered Meals
No372500000XNursing Service Related ProvidersChore Provider
No372600000XNursing Service Related ProvidersAdult Companion
No376J00000XNursing Service Related ProvidersHomemaker