Provider Demographics
NPI:1962655571
Name:CUMMINGS, ERICA (MOT, OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:ERICA
Middle Name:
Last Name:CUMMINGS
Suffix:
Gender:F
Credentials:MOT, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:606 W WATE ST
Mailing Address - Street 2:PO BOX 1236
Mailing Address - City:WILTON
Mailing Address - State:IA
Mailing Address - Zip Code:52778-9537
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2604 2ND AVE
Practice Address - Street 2:SUITE 6
Practice Address - City:MUSCATINE
Practice Address - State:IA
Practice Address - Zip Code:52761-5610
Practice Address - Country:US
Practice Address - Phone:563-262-0253
Practice Address - Fax:563-262-8472
Is Sole Proprietor?:No
Enumeration Date:2008-10-28
Last Update Date:2008-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA001860225X00000X, 225XN1300X, 225XP0019X, 225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No225XN1300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistNeurorehabilitation
No225XP0019XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPhysical Rehabilitation
No225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics