Individual provider Active NPI

Ericka Ondeck, MS OTRL

  • Occupational Therapist
  • Hazleton, PA
National Provider Identifier
1780699439
Registry record updated Mar 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Practice address
668 N Church St Ste 10
Hazleton, PA 18201-3189
Phone
(570) 455-0937
Fax
(570) 455-0934
NPI assigned
Jul 30, 2006
Last updated
Mar 23, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2022

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 NU Primary

Addresses

Primary practice location

668 N Church St Ste 10
Hazleton, PA 18201-3189

Mailing address

668 N Church St Ste 10
Hazleton, PA 18201-3189
Phone (570) 455-0937

Other identifiers 1

IdentifierTypeStateIssuer
818478OtherFIRST PRIORITY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040603000826 PA Practitioner - Occupational Therapist in Private Practice 7416939442 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

668 N Church St
Suite 10
Hazleton, PA 18201-3189
Phone (570) 455-0937

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Hand 2 Hand Therapy, LLC Occupational Therapist CurrentSince Sep 1, 2010 Accepting new patients
Modern Therapeutics Inc Occupational Therapist Past Accepting new patients
Pindar Physical Therapy Inc Past Accepting new patients

Locations

1109 W 15th St
Hazleton, PA 18201
Phone (570) 453-0252

668 N Church St
Ste 10
Hazleton, PA 18201
Phone (570) 455-0937

Organizations & group practices 3

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": "1154217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647993600000",
    "number": "1780699439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "668 N CHURCH ST STE 10",
            "city": "HAZLETON",
            "state": "PA",
            "postal_code": "182013189",
            "telephone_number": "570-455-0937",
            "fax_number": "570-455-0934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "668 N CHURCH ST STE 10",
            "city": "HAZLETON",
            "state": "PA",
            "postal_code": "182013189",
            "telephone_number": "570-455-0937",
            "fax_number": "570-455-0934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONDECK",
        "first_name": "ERICKA",
        "credential": "MS OTRL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-30",
        "last_updated": "2022-03-23",
        "certification_date": "2022-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST PRIORITY",
            "identifier": "818478",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazleton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.