Active NPI
Erin Scanlon, MOT, OTR/L
- Pediatric Occupational Therapist
- New Port Richey, FL
National Provider Identifier
1235721580
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- OT21983
- Practice address
- 5647 Gulf Dr
New Port Richey, FL 34652-4019 - Phone
- (727) 967-3025
- NPI assigned
- Feb 8, 2021
- Last updated
- Sep 2, 2021
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OT010001798 | Other | DC | DC DOH BOARD OF OCCUPATIONAL THERAPY |
| 438254 | Other | NATIONAL BOARD FOR CERTIFICATION IN OCCUPATIONAL THERAPY | |
| OT21983 | Other | FL | FLORIDA 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
| License | State | Type | Specialty |
|---|---|---|---|
| OT010001798 | DC | MD | Pediatric Occupational Therapist |
| OT21983 | FL | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bayside Speech Therapy, Inc. | Current | 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.
-
dba Bayside Therapy Specialists
- Clinic/Center
- New Port Richey, FL
- NPI 1578954962
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.