MEDICARE: ERICA LYNN WHEADON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist

General Provider Information

NPI Number	:	1326907676
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERICA LYNN WHEADON

Provider Business Mailing Address
First Line	:	93 CURREN DR
Second Line	:
City	:	ELMIRA
State	:	NY
Zip	:	14905-1805
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1551 PENNSYLVANIA AVE
Second Line	:
City	:	PINE CITY
State	:	NY
Zip	:	14871-9110
Country	:	US
Telephone Number	:	607-735-3800
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/21/2026
Last Update Date	:	01/21/2026

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Directions to “ ERICA LYNN WHEADON ” Practice Location

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