Active NPI
Eric John Paulitch
- Occupational Therapist
- Escanaba, MI
National Provider Identifier
1871711994
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 5201005909
- Practice address
- 2900 3Rd Ave S
Escanaba, MI 49829-1237 - Phone
- (906) 786-5810
- NPI assigned
- Apr 23, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | 5201005909 | MI | Primary |
Addresses
Primary practice location
2900 3Rd Ave S
Escanaba, MI 49829-1237
Mailing address
101 Surrey LN
Marquette, MI 49855-8922
Phone (906) 249-9021
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5201005909 | MI | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dickinson County Healthcare System | Occupational Therapist | Past | Accepting new patients |
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.
-
dba Marshfield Medical Center - Dickinson Niagara Rehab Center
- Rehabilitation Clinic/Center
- Niagara, WI
- NPI 1043892003
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1871711994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 SURREY LN",
"city": "MARQUETTE",
"state": "MI",
"postal_code": "498558922",
"telephone_number": "906-249-9021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2900 3RD AVE S",
"city": "ESCANABA",
"state": "MI",
"postal_code": "498291237",
"telephone_number": "906-786-5810"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAULITCH",
"first_name": "ERIC",
"middle_name": "JOHN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MI",
"license": "5201005909",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Escanaba, MI
- Mitchell L Parmet, DO
- Pathways Community Mental Heatlh
- Patrick W Bozarth
- Patricia Pattan Oneal, LLBSW
- Paul R Gayeff OD PC
- Amber Lynn Pavlat, COTA/L
- Peach Blossom Therapy and Consultation Services, PLLC
- Monica Peach
- Patricia J Peltz, M.A., M.S.W., ACSW
- Peninsula Pharmacy Escanaba LLC (Peninsula Pharmacy Escanaba)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.