Active NPI
Eric Jon Headley, OTR/L, CHT
- Occupational Therapist
- Mentor, OH
National Provider Identifier
1093667594
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT-6063
- Practice address
- 8655 Market St
Mentor, OH 44060-4112 - Phone
- (440) 352-1200
- Fax
- (440) 255-3253
- NPI assigned
- Feb 10, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT-6063 | OH | Primary |
Addresses
Primary practice location
8655 Market St
Mentor, OH 44060-4112
Mailing address
8655 Market St
Mentor, OH 44060-4112
Phone (440) 352-1200
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT-6063 | OH | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1770681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770681600000",
"number": "1093667594",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8655 MARKET ST",
"city": "MENTOR",
"state": "OH",
"postal_code": "440604112",
"telephone_number": "440-352-1200",
"fax_number": "440-255-3253"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8655 MARKET ST",
"city": "MENTOR",
"state": "OH",
"postal_code": "440604112",
"telephone_number": "440-352-1200",
"fax_number": "440-255-3253"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEADLEY",
"first_name": "ERIC",
"middle_name": "JON",
"credential": "OTR/L, CHT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-02-10",
"last_updated": "2026-02-10",
"certification_date": "2026-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "OH",
"license": "OT-6063",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mentor, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.