Caitlin Erickson

Individual provider Active NPI Occupational Therapy Assistant · Cumberland, WI

NPI 1396246740 · NPPES record last updated Feb 21, 2018

Key facts

NPI
1396246740
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
542227 (WI)
Practice address
1100 7TH Ave
Cumberland, WI 54829-4405
Phone
(715) 822-7050
NPI assigned
Feb 21, 2018
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
542227WIMDOccupational Therapy Assistant

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16857/brand/1/csg/1/fhir/r4

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 542227 WI Yes

Addresses

Primary practice location

1100 7TH Ave
Cumberland, WI 54829-4405

Mailing address

1055 11TH Ave
Cumberland, WI 54829-9110

Other providers in Cumberland, WI

All providers in Cumberland, WI · Occupational Therapy Assistant in Wisconsin

Sources for this page

Verify at the official NPI Registry.