Individual provider Active NPI

Erin Marie Kamin, COTA

  • Occupational Therapy Assistant
  • Pewaukee, WI
National Provider Identifier
1972776722
Registry record updated Apr 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
1607-027 Issued in WI
Practice address
N34W23133 Circle Ridge Rd Apt 102
Pewaukee, WI 53072-5732
Phone
(262) 613-1467
NPI assigned
Apr 11, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 11, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 1607-027 WI Primary

Addresses

Primary practice location

N34W23133 Circle Ridge Rd Apt 102
Pewaukee, WI 53072-5732

Mailing address

N34W23133 Circle Ridge Rd Apt 102
Pewaukee, WI 53072-5732
Phone (262) 613-1467

Other identifiers 1

IdentifierTypeStateIssuer
40896900MedicaidWI

Other names 1

  • Ms. Erin Marie O'Hara Former name

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
1607-027WIMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1207872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207872000000",
    "number": "1972776722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N34W23133 CIRCLE RIDGE RD APT 102",
            "city": "PEWAUKEE",
            "state": "WI",
            "postal_code": "530725732",
            "telephone_number": "262-613-1467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N34W23133 CIRCLE RIDGE RD APT 102",
            "city": "PEWAUKEE",
            "state": "WI",
            "postal_code": "530725732",
            "telephone_number": "262-613-1467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMIN",
        "first_name": "ERIN",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "COTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-11",
        "last_updated": "2008-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "WI",
            "license": "1607-027",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40896900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIN",
            "last_name": "O'HARA",
            "middle_name": "MARIE",
            "prefix": "MS.",
            "credential": "COTA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pewaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2008; 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.