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1962230227 NPI number — MICHAEL WAYNE CARRAGINO OTR/L

NPI Number: 1962230227
Health Care Provider/Practitioner: MICHAEL WAYNE CARRAGINO OTR/L

Information about “1962230227” NPI (MICHAEL WAYNE CARRAGINO OTR/L) exists in 1962230227 in HTML format HTML  |  1962230227 in plain Text format TXT  |  1962230227 in PDF (Portable Document Format) PDF  |  1962230227 in an XML format XML  formats.

NPI Number : 1962230227 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1962230227",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "CARRAGINO",
    "FirstName": "MICHAEL",
    "MiddleName": "WAYNE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "OTR/L",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "513 PRESQUE ISLE DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PITTSBURGH",
    "MailingAddressStateName": "PA",
    "MailingAddressPostalCode": "15239-2673",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "724-304-1910",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "100 FREEDOM WAY",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "GREENSBURG",
    "PracticeLocationAddressStateName": "PA",
    "PracticeLocationAddressPostalCode": "15601-9245",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "724-853-2513",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "07/26/2024",
    "LastUpdateDate": "08/08/2024",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": "07/26/2024",
    "NPIReactivationDate": "08/08/2024",
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "225X00000X",
        "TaxonomyName": "Occupational Therapist",
        "LicenseNumber": "516523",
        "LicenseNumberStateCode": "PA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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