Active NPI
Vicki Hudson, OTRL
- Pediatric Occupational Therapist
- Gahanna, OH
National Provider Identifier
1982811790
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 3149
- Practice address
- 676 Brook Holw
Gahanna, OH 43230-6276 - Phone
- (614) 414-5437
- Fax
- (614) 414-0280
- NPI assigned
- May 17, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 3149 | OH | Primary |
Addresses
Primary practice location
676 Brook Holw
Gahanna, OH 43230-6276
Mailing address
676 Brook Holw
Gahanna, OH 43230-6276
Phone (614) 414-5437
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3149 | OH | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1982811790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "676 BROOK HOLW",
"city": "GAHANNA",
"state": "OH",
"postal_code": "432306276",
"telephone_number": "614-414-5437",
"fax_number": "614-414-0280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "676 BROOK HOLW",
"city": "GAHANNA",
"state": "OH",
"postal_code": "432306276",
"telephone_number": "614-414-5437",
"fax_number": "614-414-0280"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUDSON",
"first_name": "VICKI",
"name_prefix": "Miss",
"credential": "OTRL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "OH",
"license": "3149",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gahanna, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.