Individual provider Active NPI

Erica Anne Vik

  • Environmental Modification Occupational Therapy Assistant
  • Ashland, WI
National Provider Identifier
1376921650
Registry record updated May 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Environmental Modification Occupational Therapy AssistantTaxonomy code 224ZE0001X
License
212672 Issued in TX
Practice address
214 5TH Ave E
Ashland, WI 54806-1832
Phone
(563) 217-2020
NPI assigned
May 7, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Environmental Modification Occupational Therapy Assistant 224ZE0001X 212672 TX Primary
Environmental Modification Occupational Therapy Assistant 224ZE0001X OTA-1433 ID

Addresses

Primary practice location

214 5TH Ave E
Ashland, WI 54806-1832

Mailing address

214 5TH Ave E
Ashland, WI 54806-1832
Phone (563) 217-2020

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
OTA-1433IDMDEnvironmental Modification Occupational Therapy Assistant
212672TXMDEnvironmental Modification Occupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1430956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430956800000",
    "number": "1376921650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 5TH AVE E",
            "city": "ASHLAND",
            "state": "WI",
            "postal_code": "548061832",
            "telephone_number": "563-217-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 5TH AVE E",
            "city": "ASHLAND",
            "state": "WI",
            "postal_code": "548061832",
            "telephone_number": "563-217-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIK",
        "first_name": "ERICA",
        "middle_name": "ANNE",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-07",
        "last_updated": "2015-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224ZE0001X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant, Environmental Modification",
            "state": "TX",
            "license": "212672",
            "primary": true
        },
        {
            "code": "224ZE0001X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant, Environmental Modification",
            "state": "ID",
            "license": "OTA-1433",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2015; 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.