Active NPI
Erica Noelani Noonan, MS, OTR/L
- Occupational Therapist
- Bronx, NY
National Provider Identifier
1265687743
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 63 016252
- Practice address
- 450 Saint Pauls PL
Bronx, NY 10456-1938 - Phone
- (718) 681-6227
- NPI assigned
- Nov 25, 2008
- 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 | 63 016252 | NY | Primary |
Addresses
Primary practice location
450 Saint Pauls PL
Bronx, NY 10456-1938
Mailing address
450 Saint Pauls PL
Bronx, NY 10456-1938
Phone (718) 681-6227
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Mercy College, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Brooklyn, NY 11206
Phone (718) 701-7300
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 63 016252 | NY | MD | Occupational Therapist |
| 016252 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anchor Health Homecare Services Inc | Occupational Therapist | Current | Accepting new patients |
Locations
46 Cook St
Brooklyn, NY 11206
Phone (718) 701-7300
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.
-
- Multi-Specialty Clinic/Center
- Brooklyn, NY
- NPI 1356071237
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1227571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1334793600000",
"number": "1265687743",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "450 SAINT PAULS PL",
"city": "BRONX",
"state": "NY",
"postal_code": "104561938",
"telephone_number": "718-681-6227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 SAINT PAULS PL",
"city": "BRONX",
"state": "NY",
"postal_code": "104561938",
"telephone_number": "718-681-6227"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOONAN",
"first_name": "ERICA",
"middle_name": "NOELANI",
"credential": "MS, OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-11-25",
"last_updated": "2012-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "63 016252",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.