Individual provider Active NPI

Erica Luisa Griffin, OTR/L

  • Occupational Therapist
  • Fort Walton Beach, FL
National Provider Identifier
1659974947
Registry record updated Jun 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT24895 Issued in FL
Practice address
1777 Bridgeport Colony LN
Fort Walton Beach, FL 32547-5714
Phone
(626) 710-3213
NPI assigned
Nov 18, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2024

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 OT24895 FL Primary

Addresses

Primary practice location

1777 Bridgeport Colony LN
Fort Walton Beach, FL 32547-5714

Mailing address

1777 Bridgeport Colony LN
Fort Walton Beach, FL 32547-5714
Phone (626) 710-3213

Other identifiers 2

IdentifierTypeStateIssuer
OT24895OtherFLOT LICENSE
445078OtherNBCOT

Other names 1

  • Erica Luisa Steuer Former name

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pro Vita Physical Therapy LLC Occupational Therapist CurrentSince Apr 23, 2024 Accepting new patients

Locations

638 N Ferdon Blvd
Ste 1
Crestview, FL 32536
Phone (850) 331-3017

Organizations & group practices 1

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": "1605657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718323200000",
    "number": "1659974947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1777 BRIDGEPORT COLONY LN",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325475714",
            "telephone_number": "626-710-3213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1777 BRIDGEPORT COLONY LN",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325475714",
            "telephone_number": "626-710-3213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFIN",
        "first_name": "ERICA",
        "middle_name": "LUISA",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-18",
        "last_updated": "2024-06-14",
        "certification_date": "2024-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT24895",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OT LICENSE",
            "identifier": "OT24895",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NBCOT",
            "identifier": "445078",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERICA",
            "last_name": "STEUER",
            "middle_name": "LUISA",
            "credential": "OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Walton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2024; 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.