Active NPI
Erin T Van Gelder, OT
- Occupational Therapist
- Cutchogue, NY
National Provider Identifier
1366594376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 012818-1
- Practice address
- 28000 Main Rd
Cutchogue, NY 11935 - Phone
- (631) 734-2470
- Fax
- (631) 734-2635
- NPI assigned
- Jan 18, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 012818-1 | NY | Primary |
Addresses
Primary practice location
28000 Main Rd
Cutchogue, NY 11935
Mailing address
PO Box 2422
Aquebogue, NY 11931-2422
Phone (631) 734-2470
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 012818-1 | NY | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Fork Physical Therapy PC | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Physical Therapy Clinic/Center
- Riverhead, NY
- NPI 1972655041
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1366594376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2422",
"city": "AQUEBOGUE",
"state": "NY",
"postal_code": "119312422",
"telephone_number": "631-734-2470",
"fax_number": "631-734-2635"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28000 MAIN RD",
"city": "CUTCHOGUE",
"state": "NY",
"postal_code": "11935",
"telephone_number": "631-734-2470",
"fax_number": "631-734-2635"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAN GELDER",
"first_name": "ERIN",
"middle_name": "T",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "012818-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cutchogue, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.