Active NPI
Ryan Harlacher
- Occupational Therapy Assistant
- Mishawaka, IN
National Provider Identifier
1861937682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 32001916A
- Practice address
- 530 Tanglewood LN
Mishawaka, IN 46545-2627 - Phone
- (574) 285-0120
- NPI assigned
- Jan 3, 2017
- 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 Therapy Assistant | 224Z00000X | 32001916A | IN | Primary |
| Occupational Therapy Assistant | 224Z00000X | OTA15487 | FL |
Addresses
Primary practice location
530 Tanglewood LN
Mishawaka, IN 46545-2627
Mailing address
627 Gernhart Ave
Mishawaka, IN 46544-2431
Phone (574) 596-4502
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 |
|---|---|---|---|
| OTA15487 | FL | MD | Occupational Therapy Assistant |
| 32001916A | IN | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1483401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1483401600000",
"number": "1861937682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "627 GERNHART AVE",
"city": "MISHAWAKA",
"state": "IN",
"postal_code": "465442431",
"telephone_number": "574-596-4502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "530 TANGLEWOOD LN",
"city": "MISHAWAKA",
"state": "IN",
"postal_code": "465452627",
"telephone_number": "574-285-0120"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARLACHER",
"first_name": "RYAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-01-03",
"last_updated": "2017-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "IN",
"license": "32001916A",
"primary": true
},
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "FL",
"license": "OTA15487",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mishawaka, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.