Active NPI
Ericka Eades, OT
- Occupational Therapist
- Kenmore, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 029425
- Practice address
- 3767 Delaware Ave
Kenmore, NY 14217-1040 - Phone
- (716) 874-6175
- NPI assigned
- Mar 21, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 0119009654 | VA | |
| Occupational Therapist | 225X00000X | 029425 | NY | Primary |
Addresses
Primary practice location
3767 Delaware Ave
Kenmore, NY 14217-1040
Mailing address
3767 Delaware Ave
Kenmore, NY 14217-1040
Phone (716) 874-6175
Other practice location 1
545 Ray C Hunt Dr Ste 2100
Charlottesville, VA 22903-2981
Phone (434) 297-9700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 86.45 of 100
- Quality
- 79.76
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.07
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 029425 | NY | MD | Contractor |
| 0119009654 | VA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Virginia Physicians Group | Current | Accepting new patients | |
| Associated Physical & Occupational Therapists, PLLC | Occupational Therapist | Past | Accepting new patients |
Locations
545 Ray C Hunt Dr
Ste 2100
Charlottesville, VA 22903
Phone (434) 297-9700
1215 Lee St
Fl 8
Charlottesvle, VA 22908
Phone (434) 924-2500
545 Ray C Hunt Dr
Charlottesvle, VA 22903
Phone (434) 243-0311
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.
-
- Sports Medicine (Neuromusculoskeletal Medicine) Physician
- Charlottesville, VA
- NPI 1033138250
-
- Occupational Therapist
- Kenmore, NY
- NPI 1538378039
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731456000000",
"number": "1699477836",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3767 DELAWARE AVE",
"city": "KENMORE",
"state": "NY",
"postal_code": "142171040",
"telephone_number": "716-874-6175"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3767 DELAWARE AVE",
"city": "KENMORE",
"state": "NY",
"postal_code": "142171040",
"telephone_number": "716-874-6175"
}
],
"practiceLocations": [
{
"address_1": "545 Ray C Hunt Dr Ste 2100",
"address_purpose": "LOCATION",
"city": "Charlottesville",
"state": "VA",
"postal_code": "229032981",
"country_code": "US",
"telephone_number": "434-297-9700",
"fax_number": "434-297-9707",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EADES",
"first_name": "ERICKA",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-03-21",
"last_updated": "2024-11-13",
"certification_date": "2024-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "VA",
"license": "0119009654",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "029425",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kenmore, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.