Active NPI
Annie Yovich
- Physical Rehabilitation Occupational Therapist
- Cleveland, OH
National Provider Identifier
1689123002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Rehabilitation Occupational Therapist
- License
- OT009515
- Practice address
- 20265 Emery Rd
Cleveland, OH 44128-4122 - Phone
- (216) 584-2720
- NPI assigned
- Sep 27, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Rehabilitation Occupational Therapist | 225XP0019X | OT009515 | OH | Primary |
| Physical Rehabilitation Occupational Therapist | 225XP0019X | OC014685 | PA |
Addresses
Primary practice location
20265 Emery Rd
Cleveland, OH 44128-4122
Mailing address
PO Box 6
Mill Village, PA 16427-0006
Phone (814) 746-0286
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT009515 | OH | MD | Physical Rehabilitation Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clinical Practice of Lecom Institute for Successful Living | Current | Accepting new patients |
Locations
5535 Peach St
Erie, PA 16509
Phone (814) 868-3488
41 W Gore Rd
Erie, PA 16509
Phone (814) 454-2831
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.
-
- Multi-Specialty Clinic/Center
- Erie, PA
- NPI 1326921487
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1474934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1474934400000",
"number": "1689123002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6",
"city": "MILL VILLAGE",
"state": "PA",
"postal_code": "164270006",
"telephone_number": "814-746-0286"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20265 EMERY RD",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441284122",
"telephone_number": "216-584-2720"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOVICH",
"first_name": "ANNIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-09-27",
"last_updated": "2016-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0019X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Physical Rehabilitation",
"state": "OH",
"license": "OT009515",
"primary": true
},
{
"code": "225XP0019X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Physical Rehabilitation",
"state": "PA",
"license": "OC014685",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.