Individual provider Active NPI

Amanda Lee Hoganson, MS OTR/L

  • Occupational Therapist
  • Erie, PA
National Provider Identifier
1740432483
Registry record updated Oct 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OC010195 Issued in PA
Practice address
3805 Field St
Erie, PA 16511-2825
Phone
(814) 898-5600
Fax
(814) 899-9829
NPI assigned
Oct 14, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2008

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 OC010195 PA Primary

Addresses

Primary practice location

3805 Field St
Erie, PA 16511-2825

Mailing address

3805 Field St
Erie, PA 16511-2825
Phone (814) 898-5600

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)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
OC010195PAMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1223942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223942400000",
    "number": "1740432483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3805 FIELD ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165112825",
            "telephone_number": "814-898-5600",
            "fax_number": "814-899-9829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3805 FIELD ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165112825",
            "telephone_number": "814-898-5600",
            "fax_number": "814-899-9829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOGANSON",
        "first_name": "AMANDA",
        "middle_name": "LEE",
        "credential": "MS OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-14",
        "last_updated": "2008-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC010195",
            "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 Oct 14, 2008; 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.