Ethan Solomon Freeman, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OC014936 Issued in PA

Practice address

470 Eisenhower Dr
Hanover, PA 17331-5248

Phone

(717) 633-0031

Fax

(717) 630-1085

NPI assigned

Jun 27, 2017

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• The Mennonite Home

  • Physical Therapy Clinic/Center
  • Lancaster, PA
  • NPI 1093053910
  NPD
• Fox Rehabilitation Services Inc

  • Physical Therapist
  • Wilmington, DE
  • NPI 1326092503

  Occupational Therapist

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1498521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678233600000",
    "number": "1053831495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1861 POWDER MILL RD",
            "address_2": "ATTN MEDICAL STAFF OFFICE",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174024723",
            "telephone_number": "717-718-2041",
            "fax_number": "717-747-2102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 EISENHOWER DR",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "173315248",
            "telephone_number": "717-633-0031",
            "fax_number": "717-630-1085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREEMAN",
        "first_name": "ETHAN",
        "middle_name": "SOLOMON",
        "name_prefix": "Mr.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-27",
        "last_updated": "2023-03-08",
        "certification_date": "2023-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IA",
            "license": "119112",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC014936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annika Kathleen Ford, MS, BS, LAPC
• Anthony Wayne Fowler, AU.D
• Anne Fralic, PHARM D
• Danielle Francis, LSW
• Casey Lynn Freeman, CRNP
• Lawrence S Freer, MD, PHD
• Susan Dorothy Freundel
• Susan A Frey, LPC
• Andrew Fritz, DPT
• Seth Fuhrman, PAC

• Occupational Therapist in Hanover, PA
• Providers in Hanover, PA by specialty
• Occupational Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.