Individual provider Active NPI

Eribel Lopez Hernandez

  • Occupational Therapy Assistant
  • Orchard Park, NY
National Provider Identifier
1104229830
Registry record updated Oct 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
008507-1 Issued in NY
Practice address
6445 W Quaker St
Orchard Park, NY 14127-2354
Phone
(716) 972-0356
NPI assigned
Oct 8, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 008507-1 NY Primary

Addresses

Primary practice location

6445 W Quaker St
Orchard Park, NY 14127-2354

Mailing address

5386 Webster Rd
Brocton, NY 14716-9615
Phone (716) 720-6576

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

LicenseStateTypeSpecialty
008507-1NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy Resources,Speech and Language Pathology, Physical Therapy & Oc Occupational Therapy Assistant Past Accepting new patients

Organizations & group practices 1

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": "1412726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412726400000",
    "number": "1104229830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5386 WEBSTER RD",
            "city": "BROCTON",
            "state": "NY",
            "postal_code": "147169615",
            "telephone_number": "716-720-6576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6445 W QUAKER ST",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141272354",
            "telephone_number": "716-972-0356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ HERNANDEZ",
        "first_name": "ERIBEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-10-08",
        "last_updated": "2014-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NY",
            "license": "008507-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orchard Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2014; 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.