Edgar D Prater

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

32000255A Issued in IN

Practice address

501 W 84TH Dr Ste 1
Merrillville, IN 46410-7013

Phone

(219) 756-4695

Fax

(219) 793-9629

NPI assigned

Feb 6, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• 21St Century Total Wellness

  • Occupational Therapy Assistant
  • Merrillville, IN
  • NPI 1639218910
  NPD (past) Authorized official
• 21St Century Total Wellness, LLC

  • Specialist
  • Demotte, IN
  • NPI 1043412711
  NPD (past) Authorized official

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083753099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 W 84TH DRIVE, SUITE A",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "46410",
            "telephone_number": "219-756-4695",
            "fax_number": "219-793-9629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 W 84TH DR STE 1",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464107013",
            "telephone_number": "219-756-4695",
            "fax_number": "219-793-9629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRATER",
        "first_name": "EDGAR",
        "middle_name": "D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "IN",
            "license": "32000255A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krishnan Potti, M.D. PC
• Lynn T Powell, D.C.
• Mary Powell
• Tammy Powell
• Powerback Rehabilitation LLC
• Yiriz Prato, PT, DPT
• Precious Beginnings Therapy Services, LLC
• Premier Dental Group PC
• Premier Hospice, Inc
• Premise Health of Indiana Medical PC

• Occupational Therapy Assistant in Merrillville, IN
• Providers in Merrillville, IN by specialty
• Occupational Therapy Assistant in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.