Individual provider Active NPI

Erin Scanlon, MOT, OTR/L

  • Pediatric Occupational Therapist
  • New Port Richey, FL
National Provider Identifier
1235721580
Registry record updated Sep 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
OT21983 Issued in FL
Practice address
5647 Gulf Dr
New Port Richey, FL 34652-4019
Phone
(727) 967-3025
NPI assigned
Feb 8, 2021
Last updated
Sep 2, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental - Behavioral Pediatrics Physician 2080P0006X OT21983 FL
Pediatric Occupational Therapist 225XP0200X OT010001798 DC
Pediatric Occupational Therapist 225XP0200X OT21983 FL Primary

Addresses

Primary practice location

5647 Gulf Dr
New Port Richey, FL 34652-4019

Mailing address

4327 Harrison St NW Apt 1
Washington, DC 20015-2120
Phone (301) 806-6145

Other practice location 1

1200 1st St NE
Washington, DC 20002-3361
Phone (770) 225-3093

Other identifiers 3

IdentifierTypeStateIssuer
OT010001798OtherDCDC DOH BOARD OF OCCUPATIONAL THERAPY
438254OtherNATIONAL BOARD FOR CERTIFICATION IN OCCUPATIONAL THERAPY
OT21983OtherFLFLORIDA BOARD OF OCCUPATIONAL THERAPY

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
OT010001798DCMDPediatric Occupational Therapist
OT21983FLMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bayside Speech Therapy, Inc. CurrentSince May 22, 2023 Accepting new patients

Locations

5647 Gulf Dr
New Port Richey, FL 34652
Phone (727) 645-6542

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.

NPI Registry JSON

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

{
    "created_epoch": "1612742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630540800000",
    "number": "1235721580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4327 HARRISON ST NW APT 1",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200152120",
            "telephone_number": "301-806-6145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5647 GULF DR",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346524019",
            "telephone_number": "727-967-3025"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 1st St NE",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200023361",
            "country_code": "US",
            "telephone_number": "770-225-3093",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCANLON",
        "first_name": "ERIN",
        "credential": "MOT, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-08",
        "last_updated": "2021-09-02",
        "certification_date": "2021-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0006X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Developmental - Behavioral Pediatrics",
            "state": "FL",
            "license": "OT21983",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "DC",
            "license": "OT010001798",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "FL",
            "license": "OT21983",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DC DOH BOARD OF OCCUPATIONAL THERAPY",
            "identifier": "OT010001798",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL BOARD FOR CERTIFICATION IN OCCUPATIONAL THERAPY",
            "identifier": "438254",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA BOARD OF OCCUPATIONAL THERAPY",
            "identifier": "OT21983",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Port Richey, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2021; 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.