Individual provider Active NPI

Erin Elizabeth Mitskavich, OTR/L

  • Occupational Therapist
  • Beachwood, OH
National Provider Identifier
1124080726
Registry record updated Aug 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
4957 Issued in OH
Practice address
24400 Highpoint Rd
Suite 10
Beachwood, OH 44122-6054
Phone
(216) 896-0824
Fax
(216) 896-0825
NPI assigned
Apr 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2009

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 4957 OH Primary

Addresses

Primary practice location

24400 Highpoint Rd
Suite 10
Beachwood, OH 44122-6054

Mailing address

24400 Highpoint Rd
Suite 10
Beachwood, OH 44122-6054
Phone (216) 896-0824

Other names 1

  • Erin Elizabeth Colbeck Former name

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
004957OHMDAthletic Trainer
4957OHMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1249516800000",
    "number": "1124080726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24400 HIGHPOINT RD",
            "address_2": "SUITE 10",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441226054",
            "telephone_number": "216-896-0824",
            "fax_number": "216-896-0825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24400 HIGHPOINT RD",
            "address_2": "SUITE 10",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441226054",
            "telephone_number": "216-896-0824",
            "fax_number": "216-896-0825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITSKAVICH",
        "first_name": "ERIN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-06",
        "last_updated": "2009-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OH",
            "license": "4957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIN",
            "last_name": "COLBECK",
            "middle_name": "ELIZABETH",
            "credential": "OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Beachwood, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2009; 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.