Dora Petrosyan, MS, OTR/L

Primary specialty

Low Vision Occupational Therapy AssistantTaxonomy code 224ZL0004X

License

OC012312 Issued in PA

Practice address

2545 W 26TH St
Erie, PA 16506-3261

Phone

(814) 455-0995

NPI assigned

Dec 5, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1512432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512432000000",
    "number": "1437664141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2545 W 26TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165063261",
            "telephone_number": "814-455-0995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2545 W 26TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165063261",
            "telephone_number": "814-455-0995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETROSYAN",
        "first_name": "DORA",
        "credential": "MS, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-05",
        "last_updated": "2017-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224ZL0004X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant, Low Vision",
            "state": "PA",
            "license": "OC012312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Petkac Psychotherapy Services
• John S. Petkac, LPC
• Maryna Petrasheuskaya, DDS
• Megan Claire Petrilla, ATC
• Adam J Petroski, DO
• Irina Igorevna Petrosyan
• Krista Leigh Petry, FNP
• Tyler Joshua Petti, CRNP
• Amy S Pettis, PA-C
• Robert Pettis

• Occupational Therapy Assistant in Erie, PA
• Providers in Erie, PA by specialty
• Occupational Therapy Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2017; 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.