Individual provider Active NPI

Erika Vasconez, OTR/L

  • Occupational Therapist
  • Weatherly, PA
National Provider Identifier
1457822959
Registry record updated Dec 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OC015763 Issued in PA
Practice address
1000 Evergreen Ave
Weatherly, PA 18255-1530
Phone
(570) 427-8683
NPI assigned
Dec 9, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2018

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 OC015763 PA Primary

Addresses

Primary practice location

1000 Evergreen Ave
Weatherly, PA 18255-1530

Mailing address

1805 Markham Dr
Bethlehem, PA 18017-2721
Phone (610) 360-5671

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
OC015763PAMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1544313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544313600000",
    "number": "1457822959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 MARKHAM DR",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180172721",
            "telephone_number": "610-360-5671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 EVERGREEN AVE",
            "city": "WEATHERLY",
            "state": "PA",
            "postal_code": "182551530",
            "telephone_number": "570-427-8683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASCONEZ",
        "first_name": "ERIKA",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-09",
        "last_updated": "2018-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC015763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weatherly, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2018; 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.