Individual provider Active NPI

Erin M Anderson, OTR/L

  • Pediatric Occupational Therapist
  • Chicago, IL
National Provider Identifier
1902162571
Registry record updated Apr 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
056005069 Issued in IL
Practice address
2151 W Roscoe St Ste 1W
Chicago, IL 60618-6267
Phone
(773) 935-7355
NPI assigned
Apr 7, 2012
Last updated
Apr 7, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 056005069 IL Primary

Addresses

Primary practice location

2151 W Roscoe St Ste 1W
Chicago, IL 60618-6267

Mailing address

2151 W Roscoe St Ste 1W
Chicago, IL 60618-6267
Phone (773) 935-7355

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
056005069ILMDPediatric Occupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1333756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333756800000",
    "number": "1902162571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2151 W ROSCOE ST STE 1W",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606186267",
            "telephone_number": "773-935-7355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2151 W ROSCOE ST STE 1W",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606186267",
            "telephone_number": "773-935-7355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "ERIN",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-07",
        "last_updated": "2012-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "IL",
            "license": "056005069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2012; 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.