Active NPI
Bridget Nicole Minnick, OTR/L
- Driving and Community Mobility Occupational Therapist
- Erie, PA
National Provider Identifier
1568866556
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driving and Community Mobility Occupational Therapist
- License
- OC013335
- Practice address
- 4202 Peach St
Erie, PA 16509-1458 - Phone
- (814) 833-2301
- Fax
- (814) 833-9230
- NPI assigned
- Oct 20, 2014
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Driving and Community Mobility Occupational Therapist | 225XR0403X | OC013335 | PA | Primary |
Addresses
Primary practice location
4202 Peach St
Erie, PA 16509-1458
Mailing address
4202 Peach St
Erie, PA 16509-1458
Phone (814) 833-2301
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
| License | State | Type | Specialty |
|---|---|---|---|
| OC013335 | PA | MD | Driving and Community Mobility Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1413763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453680000000",
"number": "1568866556",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4202 PEACH ST",
"city": "ERIE",
"state": "PA",
"postal_code": "165091458",
"telephone_number": "814-833-2301",
"fax_number": "814-833-9230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4202 PEACH ST",
"city": "ERIE",
"state": "PA",
"postal_code": "165091458",
"telephone_number": "814-833-2301",
"fax_number": "814-833-9230"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MINNICK",
"first_name": "BRIDGET",
"middle_name": "NICOLE",
"name_prefix": "Ms.",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-10-20",
"last_updated": "2016-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "225XR0403X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Driving and Community Mobility",
"state": "PA",
"license": "OC013335",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Erie, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.