Individual provider Active NPI

Erica Sara Miska

  • Occupational Therapist
  • Richmond Hill, NY
National Provider Identifier
1124387188
Registry record updated May 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
013743-1 Issued in NY
Practice address
8440 101St St
Richmond Hill, NY 11418-1109
Phone
(718) 846-0454
Fax
(718) 263-0491
NPI assigned
May 11, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 2012

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 013743-1 NY Primary

Addresses

Primary practice location

8440 101St St
Richmond Hill, NY 11418-1109

Mailing address

8440 101St St
Richmond Hill, NY 11418-1109
Phone (718) 846-0454

Other names 1

  • Erica Sara Miska 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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
013743-1NYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1336694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336694400000",
    "number": "1124387188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8440 101ST ST",
            "city": "RICHMOND HILL",
            "state": "NY",
            "postal_code": "114181109",
            "telephone_number": "718-846-0454",
            "fax_number": "718-263-0491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8440 101ST ST",
            "city": "RICHMOND HILL",
            "state": "NY",
            "postal_code": "114181109",
            "telephone_number": "718-846-0454",
            "fax_number": "718-263-0491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISKA",
        "first_name": "ERICA",
        "middle_name": "SARA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-11",
        "last_updated": "2012-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "013743-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERICA",
            "last_name": "MISKA",
            "middle_name": "SARA",
            "credential": "MS OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Richmond Hill, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2012; 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.