Active NPI
Erik Michael Meduna
- Occupational Therapist
- East Norriton, PA
National Provider Identifier
1780926329
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OC012760
- Practice address
- 2920 Hannah Ave Apt G169
East Norriton, PA 19401-1553 - Phone
- (509) 475-2649
- NPI assigned
- Mar 21, 2013
- Sex
- Male
- 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 | OC012760 | PA | Primary |
| Occupational Therapist | 225X00000X | OT60279328 | WA |
Addresses
Primary practice location
2920 Hannah Ave Apt G169
East Norriton, PA 19401-1553
Mailing address
2920 Hannah Ave Apt G169
East Norriton, PA 19401-1553
Phone (509) 475-2649
Other names 1
- Erik Michael Anderson
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 |
|---|---|---|---|
| OC012760 | PA | MD | Occupational Therapist |
| OT60279328 | WA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363824000000",
"number": "1780926329",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2920 HANNAH AVE APT G169",
"city": "EAST NORRITON",
"state": "PA",
"postal_code": "194011553",
"telephone_number": "509-475-2649"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2920 HANNAH AVE APT G169",
"city": "EAST NORRITON",
"state": "PA",
"postal_code": "194011553",
"telephone_number": "509-475-2649"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEDUNA",
"first_name": "ERIK",
"middle_name": "MICHAEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-03-21",
"last_updated": "2013-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "PA",
"license": "OC012760",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WA",
"license": "OT60279328",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ERIK",
"last_name": "ANDERSON",
"middle_name": "MICHAEL",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in East Norriton, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.