Active NPIIndividual providerSole proprietor

Mr. Todd Ericson, COTA/L

Occupational Therapy Assistant in Freehold, New Jersey

NPI Number1114127206
Practice location
10 Poe CT, Freehold, NJ 07728-4326
Fax
—
Last updated
July 18, 2007

Todd Ericson is an Occupational Therapy Assistant based in Freehold, NJ. Todd Ericson practices in Freehold, NJ and has the professional credentials of COTA/L. The NPI Number for Todd Ericson is 1114127206 and holds a License No. 46TA090310 (NJ). The current practice location address for Todd Ericson is 10 Poe CT, Freehold, NJ 07728-4326 and can be reached out via phone at 732-845-9082.

Provider Profile Details

NPI Number
1114127206
Provider Name
Todd Ericson
Credential
COTA/L
Provider Entity Type
Individual
Gender
Male
Address
10 Poe CT, Freehold, NJ 07728-4326
Phone Number
732-845-9082
Primary Taxonomy
Occupational Therapy Assistant · 224Z00000X
Sole Proprietor
Yes
Provider Enumeration Date
July 18, 2007
Last Update Date
July 18, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
10 Poe CT
Freehold, NJ 07728-4326
Zip
07728-4326
Phone Number
732-845-9082
Freehold, NJ 07728Get directions →

Provider Business Mailing Address Details

Address
10 Poe CT
Freehold, NJ 07728-4326
City
Freehold
State
NJ
Zip
07728-4326

License Information

License Number
46TA090310
License State
NJ
Taxonomy
Occupational Therapy Assistant · 224Z00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. Todd Ericson, COTA/L?

The NPI number of Mr. Todd Ericson, COTA/L is 1114127206. It was assigned on July 18, 2007 and is currently active in the NPPES registry.

What is the specialty of Mr. Todd Ericson, COTA/L?

Mr. Todd Ericson, COTA/L is registered under the primary taxonomy Occupational Therapy Assistant (code 224Z00000X), licensed in NJ under license number 46TA090310.

Where does Mr. Todd Ericson, COTA/L practice?

The practice location is 10 Poe CT, Freehold, NJ 07728-4326. The office can be reached at 732-845-9082 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1114127206 directly on the NPPES registry website.

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