Katie Herr

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OC012943 Issued in PA

Practice address

1021 Springboard Dr
Hershey, PA 17033-8820

Phone

(717) 583-5102

NPI assigned

Sep 4, 2018

Last updated

Sep 4, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Functional Freedom LLC

  • Occupational Therapist
  • Lancaster, PA
  • NPI 1861989493
  Medicare reassignment NPD

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

{
    "created_epoch": "1536019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536019200000",
    "number": "1912489220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 SPRINGBOARD DR",
            "city": "HERSHEY",
            "state": "PA",
            "postal_code": "170338820",
            "telephone_number": "717-583-5102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 SPRINGBOARD DR",
            "city": "HERSHEY",
            "state": "PA",
            "postal_code": "170338820",
            "telephone_number": "717-583-5102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERR",
        "first_name": "KATIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-04",
        "last_updated": "2018-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC012943",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "OC012943",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christina Hermann
• Elizabeth Marion Hernandez, OT/L
• Julio Andre Hernandez, DO
• Manuel Hernandez, MD
• Reynaldo Hernandez Jr., MD
• Sandra M Herr, MD
• Hershey 1 LLC (Hershey Family Chiropractic)
• Hershey Anesthesia LLC
• Hershey Chiropractic PC (Hershey Chiropractic Center)
• Hershey Dental Care

• Occupational Therapist in Hershey, PA
• Providers in Hershey, PA by specialty
• Occupational Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.