Individual provider Active NPI

Vickie R Pierman, OTR

  • Occupational Therapist
  • Voorhees, NJ
National Provider Identifier
1396879540
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
TR000610 Issued in NJ
Practice address
2601 E Evesham Rd
Voorhees, NJ 08043-9509
Phone
(856) 596-1113
NPI assigned
Mar 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X TR000610 NJ Primary

Addresses

Primary practice location

2601 E Evesham Rd
Voorhees, NJ 08043-9509

Mailing address

600 S Broad St
Kennett Square, PA 19348-3346
Phone (609) 234-9660

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
TR000610NJMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396879540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 S BROAD ST",
            "city": "KENNETT SQUARE",
            "state": "PA",
            "postal_code": "193483346",
            "telephone_number": "609-234-9660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 E EVESHAM RD",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080439509",
            "telephone_number": "856-596-1113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERMAN",
        "first_name": "VICKIE",
        "middle_name": "R",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "TR000610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Voorhees, NJ

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.

Verify at the official NPI Registry.