Individual provider Active NPI

Erica D Reid, OT

  • Occupational Therapist
  • Los Angeles, CA
National Provider Identifier
1073672564
Registry record updated Jun 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT19100 Issued in CA
Practice address
7864 Willoughby Ave
Los Angeles, CA 90046-7225
Phone
(323) 655-8528
Fax
(323) 544-0045
NPI assigned
Dec 8, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT19100 CA Primary

Addresses

Primary practice location

7864 Willoughby Ave
Los Angeles, CA 90046-7225

Mailing address

544 S San Vicente Blvd
Los Angeles, CA 90048-4622
Phone (323) 655-8528

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1910CAMDMidwife
OT19100CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Neha Shah PT Inc CurrentSince May 31, 2020 Accepting new patients
Cedars-Sinai Medical Care Foundation Past Accepting new patients
Sapozhnikov & Psychological Associates Inc PastSince Jun 12, 2022 Accepting new patients

Locations

508 S San Vicente Blvd
Los Angeles, CA 90048
Phone (322) 782-1500

544 S San Vicente Blvd
Los Angeles, CA 90048
Phone (323) 655-8528

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654732800000",
    "number": "1073672564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "544 S SAN VICENTE BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900484622",
            "telephone_number": "323-655-8528",
            "fax_number": "323-544-0045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7864 WILLOUGHBY AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900467225",
            "telephone_number": "323-655-8528",
            "fax_number": "323-544-0045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REID",
        "first_name": "ERICA",
        "middle_name": "D",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-08",
        "last_updated": "2022-06-09",
        "certification_date": "2022-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "OT19100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2022; 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.