Active NPI
Erica Nicole Coverstone, OTD
- Occupational Therapist
- Fort Loramie, OH
National Provider Identifier
1780353045
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT009829
- Practice address
- 350 Sioux St
Fort Loramie, OH 45845-9315 - Phone
- (937) 638-0468
- NPI assigned
- Sep 9, 2021
- Last updated
- Sep 9, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| OT009829 | OH | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Empauer Rehab, LTD. | Current | 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.
-
- Physical Therapy Clinic/Center
- Fort Loramie, OH
- NPI 1245909373
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.