Basic Information
| Provider Information | |||||||||
| NPI: | 1720038664 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | KOSCINSKI | ||||||||
| FirstName: | CARA | ||||||||
| MiddleName: | NICOLE | ||||||||
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| Credential: | OTR L | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1802 PIONEER DR | ||||||||
| Address2: | |||||||||
| City: | SEWICKLEY | ||||||||
| State: | PA | ||||||||
| PostalCode: | 151438584 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 135 CUMBERLAND RD | ||||||||
| Address2: | SUITE 105 | ||||||||
| City: | PITTSBURGH | ||||||||
| State: | PA | ||||||||
| PostalCode: | 152375447 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4123641886 | ||||||||
| FaxNumber: | 4123647120 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/11/2006 | ||||||||
| LastUpdateDate: | 06/03/2008 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225X00000X | OC005312L | PA | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist |
ID Information
| ID | Type | State | Issuer | Description | 1553259 | 01 | PA | GATEWAY HEALTH PLAN | OTHER | 202482350 | 01 | PA | HEALTH AMERICA | OTHER | 000000179093 | 01 | PA | UNISON HEALTH PLAN | OTHER | 001852888 | 01 | PA | OT HIGHMARK | OTHER | 1012454400001 | 05 | PA | MEDICAID | 1720038664 | 01 | PA | NPI | OTHER | 7257673 | 01 | PA | AETNA | OTHER | 204151437 | 01 | PA | HEALTH AMERICA | OTHER | 001752798 | 01 | PA | INDIVIDUAL HIGHMARK | OTHER |