Physician Compare National (NPI:1891854881)

HEALTHCARE PROVIDER: ERIN LEE ST DENIS OTR L

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1891854881
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1557460615
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20070702000037
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	ST DENIS
	Individual professional last name
Provider First Name	ERIN
	Individual professional first name
Provider Middle Name	L
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1996
	Individual professional's medical school graduation year
Primary Specialty	OCCUPATIONAL THERAPY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	CLEVELAND SOCIETY FOR THE BLIND
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	3173615283
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	3
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	1909 E 101ST ST
	Group Practice or individual's line 1 address
Line 2 Street Address	ATTN CHARLOTTE FORNAL CONTROLLER
	Group Practice or individual's line 2 address
City	CLEVELAND
	Group Practice or individual's city
State	OH
	Group Practice or individual's state
Zip Code	441064101
	Group Practice or individual's zip code (9 digits when available)
Phone Number	2167918118
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y