Active NPI
Eribel Lopez Hernandez
- Occupational Therapy Assistant
- Orchard Park, NY
National Provider Identifier
1104229830
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 008507-1
- 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
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 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
| License | State | Type | Specialty |
|---|---|---|---|
| 008507-1 | NY | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Early Intervention Provider Agency
- Orchard Park, NY
- NPI 1205334133
Occupational Therapy Assistant
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.