Individual provider Active NPI

Erik M Hager, OTR

  • Pediatric Occupational Therapist
  • Raymondville, TX
National Provider Identifier
1548279144
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
109956 Issued in TX
Practice address
464 W Hidalgo Ave
Raymondville, TX 78580-3529
Phone
(956) 689-1000
Fax
(956) 689-6026
NPI assigned
Aug 5, 2006
Sex
Male
Sole proprietor
Yes

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
Pediatric Occupational Therapist 225XP0200X 109956 TX Primary

Addresses

Primary practice location

464 W Hidalgo Ave
Raymondville, TX 78580-3529

Mailing address

464 W Hidalgo Ave
Raymondville, TX 78580-3529
Phone (956) 689-1000

Other identifiers 1

IdentifierTypeStateIssuer
8T6370 BC/BSOtherTXOCCUPATIONAL THERAPIST RE

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
109956TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Erik M Hager the Kids Spot Pediatric Rehab PastSince Sep 5, 2005 Accepting new patients
Children First Pediatric Rehabilitation, LLP PastSince Apr 24, 2004 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1548279144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "464 W HIDALGO AVE",
            "city": "RAYMONDVILLE",
            "state": "TX",
            "postal_code": "785803529",
            "telephone_number": "956-689-1000",
            "fax_number": "956-689-6026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "464 W HIDALGO AVE",
            "city": "RAYMONDVILLE",
            "state": "TX",
            "postal_code": "785803529",
            "telephone_number": "956-689-1000",
            "fax_number": "956-689-6026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGER",
        "first_name": "ERIK",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "TX",
            "license": "109956",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OCCUPATIONAL THERAPIST RE",
            "identifier": "8T6370 BC/BS",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raymondville, TX

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.