Eryan Rydell Singalawa Hernandez, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

3663 Issued in TN

Practice address

6733 Quince Rd
Memphis, TN 38119-8602

Phone

(901) 755-3860

NPI assigned

Aug 1, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1659312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659312000000",
    "number": "1245967223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2791 COLONIAL TOWERS DR",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380164635",
            "telephone_number": "901-426-9612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6733 QUINCE RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381198602",
            "telephone_number": "901-755-3860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "ERYAN RYDELL",
        "middle_name": "SINGALAWA",
        "name_prefix": "Mr.",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-01",
        "last_updated": "2022-08-01",
        "certification_date": "2022-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "TN",
            "license": "3663",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF OT LICENSE NUMBER",
            "identifier": "3663",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas Dean Herlevich, MD
• Maggie Herman
• Martin I Herman, MD
• Andrea Lourdes Hernandez, MD, MPH
• Christopher Paul Hernandez
• Jacinto A Hernandez, M.D.
• Sergio Hernandez Jr.
• Sharon Kay Herndon, R.PH.
• Brianna Herold
• Fred C Heros, D.D.S.

• Occupational Therapy Assistant in Memphis, TN
• Providers in Memphis, TN by specialty
• Occupational Therapy Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2022; 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.