Active NPI
Kathryn Wawrzyniak
- Occupational Therapist
- Erie, PA
National Provider Identifier
1154750933
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OC012897
- Practice address
- 240 W 11TH St
Suite 402
Erie, PA 16501-1758 - Phone
- (814) 464-0627
- Fax
- (814) 464-0629
- NPI assigned
- Nov 2, 2013
- Sex
- Female
- 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 Therapist | 225X00000X | OC012897 | PA | Primary |
Addresses
Primary practice location
240 W 11TH St
Suite 402
Erie, PA 16501-1758
Mailing address
240 W 11TH St
Suite 402
Erie, PA 16501-1758
Phone (814) 464-0627
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1407024000000",
"number": "1154750933",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "240 W 11TH ST",
"address_2": "SUITE 402",
"city": "ERIE",
"state": "PA",
"postal_code": "165011758",
"telephone_number": "814-464-0627",
"fax_number": "814-464-0629"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "240 W 11TH ST",
"address_2": "SUITE 402",
"city": "ERIE",
"state": "PA",
"postal_code": "165011758",
"telephone_number": "814-464-0627",
"fax_number": "814-464-0629"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAWRZYNIAK",
"first_name": "KATHRYN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-11-02",
"last_updated": "2014-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "PA",
"license": "OC012897",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Erie, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 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.