Etta Harper, REGISTERED OCCUPATIO

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

0080841 Issued in NY

Practice address

157 Connecticut Ave
Freeport, NY 11520

Phone

(516) 578-0707

Fax

(516) 379-1036

NPI assigned

Nov 25, 2008

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1227571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1293494400000",
    "number": "1225283708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 CONNECTICUT AVE",
            "city": "FREEPORT",
            "state": "NY",
            "postal_code": "11520",
            "telephone_number": "516-578-0707",
            "fax_number": "516-379-1036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 CONNECTICUT AVE",
            "city": "FREEPORT",
            "state": "NY",
            "postal_code": "11520",
            "telephone_number": "516-578-0707",
            "fax_number": "516-379-1036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARPER",
        "first_name": "ETTA",
        "name_prefix": "Ms.",
        "credential": "REGISTERED OCCUPATIO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-25",
        "last_updated": "2010-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NY",
            "license": "0080841",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMAIL CHANGE HARPERETTA@YAHOO.COM",
            "identifier": "1225283708",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHANGE EMAIL HARPERETTA@YAHOO.COM",
            "identifier": "1225283708",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brian Halton, R.D.
• Desiree M. Hamilton, CASAC, ICADC
• Wendy Hardison, COTA
• Harmony Health Care Long Island
• Harmony Health Care Long Island
• Madisan Simone Haslam, LPN
• Horace A Hawthorne, DO
• Health Quest Medical Supply Inc.
• Madeline Heit, LCSW
• Jeffrey A. Heller, OPTICIAN

• Pediatric Occupational Therapist in Freeport, NY
• Providers in Freeport, NY by specialty
• Pediatric Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2010; 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.