Active NPI
Eric Howard, COTA/L
- Occupational Therapy Assistant
- Chicago, IL
National Provider Identifier
1518259159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 057.003328
- Practice address
- 2649 E 75TH St
Chicago, IL 60649-3835 - Phone
- (773) 356-9300
- NPI assigned
- May 13, 2011
- Last updated
- May 13, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 057.003328 | IL | Primary |
Addresses
Primary practice location
2649 E 75TH St
Chicago, IL 60649-3835
Mailing address
5254 N Ashland Ave Apt 2N
Chicago, IL 60640-2589
Phone (773) 895-3742
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
| License | State | Type | Specialty |
|---|---|---|---|
| 057.003328 | IL | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1305244800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1305244800000",
"number": "1518259159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5254 N ASHLAND AVE APT 2N",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606402589",
"telephone_number": "773-895-3742"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2649 E 75TH ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606493835",
"telephone_number": "773-356-9300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOWARD",
"first_name": "ERIC",
"credential": "COTA/L",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-05-13",
"last_updated": "2011-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "IL",
"license": "057.003328",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.