CMS-1500 Box 24J / 33a • NPI
1255818142
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
224Z00000X
Licensed & Credentialed Occupational Therapy Assistant
Box 32 Service Location & ZIP+4
61 OLD AMHERST RD, SUNDERLAND, MA, 01375-7501
✓ 9-Digit EDI 837 ZIP+4 (01375-7501)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1255818142 (ERIC FENN, COTA/L) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1255818142 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | ERIC FENN, COTA/L |
| Plain-English Specialty | Licensed & Credentialed Occupational Therapy Assistant NUCC Code: 224Z00000X (Occupational Therapy Assistant) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 61 OLD AMHERST RD, SUNDERLAND, MA, 01375-7501 |
| Practice Telephone / Fax | Tel: (413) 665-2740 |
| Administrative Mailing Address | 39 TURNPIKE RD, ASHFORD, CT, 06278-2408 |
| Enumeration & Last Sync | Enumerated: 2018-07-24 | CMS Record Updated: 2018-07-24 |
Clinic Location, Accessibility & Directions
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Plain-English Taxonomy & CMS Crosswalk (224Z00000X)
What Does Taxonomy Code 224Z00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 224Z00000X translates to:
"Licensed & Credentialed Occupational Therapy Assistant"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (ERIC FENN, COTA/L)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
224Z00000X — Occupational Therapy AssistantPlain English: Licensed & Credentialed Occupational Therapy Assistant | State: MA | License: 4340 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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