ELIZA ERMOLD (NPI# 1255457651) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255457651 |
| Entity Type | Individual |
| Full Name | ELIZA ERMOLD |
| Other Name | ELIZA ENTREKIN |
| Credential | OTR/L |
| Practice Address |
1940 S West Blvd Bldg A Vineland NJ 08360-7024 |
| Mailing Address |
1377 Motor Pkwy Ste 307 Islandia NY 11749-5258 |
| Practice Telephone | 8566909977 |
| Practice Fax Number | 8565079918 |
| Mailing Telephone | 6315805200 |
| Mailing Fax Number | 6315805222 |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2017-12-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 0119005752 | VA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 225X00000X | Occupational Therapist | 46TR00441400 | NJ | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1940 S WEST BLVD BLDG A |
| City | VINELAND |
| State | NJ |
| Zip Code | 08360-7024 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417557497 | Hope Walsh | Physical Therapist | 1940 S West Blvd Bldg A, Vineland, NJ 08360-7024 | 2020-10-28 |
| 1316589302 | Taha Zahoor | Physical Therapist | 1940 S West Blvd Bldg A, Vineland, NJ 08360-7024 | 2019-10-11 |
| 1851950455 | Mackenzie Grillo | Physical Therapist | 1940 S West Blvd Bldg A, Vineland, NJ 08360-7024 | 2019-06-07 |
| 1982184263 | Karly Turner | Physical Therapist | 1940 S West Blvd Bldg A, Vineland, NJ 08360-7024 | 2018-08-16 |
| 1710482989 | Elizabeth A Glassman | Physical Medicine & Rehabilitation | 1940 S West Blvd Bldg A, Vineland, NJ 08360-7024 | 2018-03-28 |
| 1861893273 | Nicholas Burgin | Physical Therapist | 1940 S West Blvd Bldg A, Vineland, NJ 08360-7024 | 2014-09-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215534748 | Lindsay Gibbons | Social Worker | 60 W Ave, Vineland, NJ 08360 | 2020-10-07 |
| 1033769849 | Buena Vista Township Emergency Medical Services Inc. | Ambulance | 4931 E. Landis Ave., Vineland, NJ 08360 | 2019-09-13 |
| 1669037636 | Elwyn New Jersey | Day Training, Developmentally Disabled Services | Elwyn New Jersey Supported Employment Small Group, 228 W. Landis Avenue, Suite 302, Vineland, NJ 08360 | 2019-05-06 |
| 1972001519 | Kyle James Knowles | Physician Assistant | 1138 East Chestnut Avenue, Building 8 Suite B, Vineland, NJ 08360 | 2018-01-29 |
| 1205346574 | Maryville, Inc | Clinic/Center | 1173 E Landis Ave, Vineland, NJ 08360 | 2017-10-02 |
| 1184147043 | Sarah Lee | Pharmacist | 75 W Landis Ave, Vineland, NJ 08360 | 2017-07-24 |
| 1780111419 | Elwyn New Jersey | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 30 D'shibe Terrace, Vineland, NJ 08360 | 2017-05-12 |
| 1528414810 | Khushbu V Janani | Internal Medicine | 1505 W Sherman Avenue, Inspira Health Network, Vineland, NJ 08360 | 2016-05-05 |
| 1669841409 | University Womens Imaging LLC | Clinic/Center | 1051 West Sherman Avenue, Suite 4a, Vineland, NJ 08360 | 2015-09-23 |
| 1710369350 | Elwyn New Jersey | Day Training, Developmentally Disabled Services | 46 N West Ave, Building A, Vineland, NJ 08360 | 2015-06-19 |
| Find all providers in zip 08360 | ||||
| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043775000 | Gina Black | Occupational Therapist | 3339 Burnt Mill Dr, Vineland, NJ 08360-1613 | 2019-02-04 |
| 1114391570 | Satishkumar Patel | Occupational Therapist | 1888 Autumncrest Dr, Vineland, NJ 08361-6780 | 2015-11-23 |
| 1316349160 | Suzanne Blizzard | Occupational Therapist | 1616 Pennsylvania Ave Unit 260, Vineland, NJ 08361-7507 | 2014-09-24 |
| 1265604326 | Cindy Glovsky Chiarello | Occupational Therapist | 1820 Monarch Ln, Vineland, NJ 08361-6073 | 2008-03-28 |
| 1396308029 | Rachel M Gavigan | Occupational Therapist | 298 S Delsea Dr, Vineland, NJ 08360-4568 | 2019-04-18 |
| 1841654670 | Jennifer Scrivani | Occupational Therapist | 1051 W Sherman Ave, Vineland, NJ 08360-6931 | 2016-04-07 |
| 1558735803 | Amanda Lee Scull | Occupational Therapist | 524 N West Blvd, Vineland, NJ 08360-2845 | 2015-11-24 |
| 1790101814 | Amber Fisher | Occupational Therapist | 524 N West Blvd, Vineland, NJ 08360-2845 | 2014-03-13 |
| 1114267820 | Jessica Joanna Quisumbing Pulhin | Occupational Therapist | 1676 E Landis Ave, Vineland, NJ 08361-2943 | 2013-02-18 |
| 1497008742 | Amanda Nicole Seckrettar | Occupational Therapist | 1051 W Sherman Ave, Vineland, NJ 08360-6931 | 2012-10-24 |
| Find all providers in VINELAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.