Active NPI
Erin Snyder, COTA
- Occupational Therapy Assistant
- Oxford, FL
National Provider Identifier
1134473788
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- OTA12539
- Practice address
- 12029 County Road 103
Oxford, FL 34484-2938 - Phone
- (352) 571-5978
- NPI assigned
- Nov 5, 2012
- Last updated
- Nov 20, 2018
- Sex
- Female
- 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 Therapy Assistant | 224Z00000X | OTA12539 | FL | Primary |
Addresses
Primary practice location
12029 County Road 103
Oxford, FL 34484-2938
Mailing address
10590 SE 73Rd Ave
Belleview, FL 34420-6385
Phone (386) 283-3344
Other practice location 1
9318 E Colonial Dr
Suite B3
Orlando, FL 32817-4100
Phone (407) 281-3803
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OTA12539 | Other | FL | STATE LICENSE |
Other names 1
- Erin Shetter
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 |
|---|---|---|---|
| OTA12539 | FL | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eagle Community Transport LLC | Current | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Non-emergency Medical Transport (VAN)
- Inverness, FL
- NPI 1063197002
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1352073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1542672000000",
"number": "1134473788",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10590 SE 73RD AVE",
"city": "BELLEVIEW",
"state": "FL",
"postal_code": "344206385",
"telephone_number": "386-283-3344"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12029 COUNTY ROAD 103",
"city": "OXFORD",
"state": "FL",
"postal_code": "344842938",
"telephone_number": "352-571-5978"
}
],
"practiceLocations": [
{
"address_1": "9318 E Colonial Dr",
"address_2": "SUITE B3",
"address_purpose": "LOCATION",
"city": "Orlando",
"state": "FL",
"postal_code": "328174100",
"country_code": "US",
"telephone_number": "407-281-3803",
"fax_number": "407-249-8916",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SNYDER",
"first_name": "ERIN",
"credential": "COTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-11-05",
"last_updated": "2018-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "FL",
"license": "OTA12539",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "OTA12539",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ERIN",
"last_name": "SHETTER",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Oxford, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.