Individual provider Active NPI

Jane Egan-Erbe, OTR

  • Pediatric Occupational Therapist
  • Stamford, CT
National Provider Identifier
1902085293
Registry record updated Sep 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
001950 Issued in CT
Practice address
1200 High Ridge Rd Ste 3
Stamford, CT 06905
Phone
(917) 365-9414
NPI assigned
Nov 2, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 007516-1 NY
Pediatric Occupational Therapist 225XP0200X 001950 CT Primary

Addresses

Primary practice location

1200 High Ridge Rd Ste 3
Stamford, CT 06905

Mailing address

1200 High Ridge Rd # B10
Stamford, CT 06905-1223
Phone (917) 365-9414

Other practice location 1

1200 High Ridge Rd Ste 3
Stamford, CT 06905
Phone (917) 365-9414

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

LicenseStateTypeSpecialty
007516-1NYMDMental Health Counselor
001950CTMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Jane Egan-Erbe, LLC Pediatrics CurrentSince May 25, 2021 Accepting new patients
Prohealth Care Associates, LLP Past Accepting new patients
First Choice Physical & PastSince Jan 1, 2006 Accepting new patients

Locations

1200 High Ridge Rd
#B10
Stamford, CT 06905
Phone (203) 530-2108

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1193961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567382400000",
    "number": "1902085293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 HIGH RIDGE RD # B10",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069051223",
            "telephone_number": "917-365-9414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 HIGH RIDGE RD STE 3",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "06905",
            "telephone_number": "917-365-9414"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 High Ridge Rd Ste 3",
            "address_purpose": "LOCATION",
            "city": "Stamford",
            "state": "CT",
            "postal_code": "06905",
            "country_code": "US",
            "telephone_number": "917-365-9414",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EGAN-ERBE",
        "first_name": "JANE",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-02",
        "last_updated": "2019-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NY",
            "license": "007516-1",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "CT",
            "license": "001950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stamford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.