Erica Haefele, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

OC18559 Issued in PA

Practice address

1003 Wyoming Ave
Forty Fort, PA 18704-4002

Phone

(570) 846-0455

NPI assigned

Aug 9, 2022

Last updated

Aug 9, 2022By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Beyond Behavior Consulting

  • Behavior Analyst
  • Forty Fort, PA
  • NPI 1285390096
  NPD
• Beyond Behavior Consulting

  • Behavior Analyst
  • Forty Fort, PA
  • NPI 1043637747

  Pediatrics

  NPD (past)

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

{
    "created_epoch": "1660003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660003200000",
    "number": "1942938063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1003 WYOMING AVE",
            "city": "FORTY FORT",
            "state": "PA",
            "postal_code": "187044002",
            "telephone_number": "570-766-8881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 WYOMING AVE",
            "city": "FORTY FORT",
            "state": "PA",
            "postal_code": "187044002",
            "telephone_number": "570-846-0455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAEFELE",
        "first_name": "ERICA",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-09",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "PA",
            "license": "OC18559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Edward Griffin, PSYCHOLOGIST
• Jeanne Ann Grymko, L.P.C., C.A.A.D.C.
• John Michael Guarnieri, D.C.
• Louis John Guarnieri, DC
• Nancy M. Guarnieri, D.C
• Michaela Hamilton
• Tamara Hendershot, MSW
• Christine Henn, M.S., CCC-SLP
• Erin Nicole Holby, M.S., CCC-SLP
• Jessica Hubbard

• Pediatric Occupational Therapist in Forty Fort, PA
• Providers in Forty Fort, PA by specialty
• Pediatric Occupational Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2022; 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.