Individual provider Active NPI

Erica Nicole Coverstone, OTD

  • Occupational Therapist
  • Fort Loramie, OH
National Provider Identifier
1780353045
Registry record updated Sep 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT009829 Issued in OH
Practice address
350 Sioux St
Fort Loramie, OH 45845-9315
Phone
(937) 638-0468
NPI assigned
Sep 9, 2021
Last updated
Sep 9, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2021

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 OT009829 OH Primary

Addresses

Primary practice location

350 Sioux St
Fort Loramie, OH 45845-9315

Mailing address

350 Sioux St
Fort Loramie, OH 45845-9315
Phone (937) 638-0468

Other practice location 1

700 E Park St
Fort Loramie, OH 45845-9409
Phone (937) 638-0468

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

State licenses

LicenseStateTypeSpecialty
OT009829OHMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Empauer Rehab, LTD. CurrentSince Sep 23, 2021 Accepting new patients

Locations

700 E Park St
Fort Loramie, OH 45845
Phone (937) 295-3307

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1631145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631145600000",
    "number": "1780353045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 SIOUX ST",
            "city": "FORT LORAMIE",
            "state": "OH",
            "postal_code": "458459315",
            "telephone_number": "937-638-0468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 SIOUX ST",
            "city": "FORT LORAMIE",
            "state": "OH",
            "postal_code": "458459315",
            "telephone_number": "937-638-0468"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 E Park St",
            "address_purpose": "LOCATION",
            "city": "Fort Loramie",
            "state": "OH",
            "postal_code": "458459409",
            "country_code": "US",
            "telephone_number": "937-638-0468",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COVERSTONE",
        "first_name": "ERICA",
        "middle_name": "NICOLE",
        "credential": "OTD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-09",
        "last_updated": "2021-09-09",
        "certification_date": "2021-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OH",
            "license": "OT009829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Loramie, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2021; 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.