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ELIZABETH WILMOTH O.T.
Complete NPI Record 1568851806
Occupational Therapist - Gerontology in Pheonix, AZ

NPI Status: Active since January 09, 2015

Contact Information

7549 NORTH AVENUE
PHEONIX, AZ
ZIP 85021
Phone: (888) 873-4221

Get Directions

Table of Contents

  1. NPI
  2. Entity Type Code
  3. Provider Last Name Legal Name
  4. Provider First Name
  5. Provider Credential Text
  6. Provider First Line Business Mailing Address
  7. Provider Business Mailing Address City Name
  8. Provider Business Mailing Address State Name
  9. Provider Business Mailing Address Postal Code
  10. Provider Business Mailing Address Country Code If outside U S
  11. Provider First Line Business Practice Location Address
  12. Provider Business Practice Location Address City Name
  13. Provider Business Practice Location Address State Name
  14. Provider Business Practice Location Address Postal Code
  15. Provider Business Practice Location Address Country Code If outside U S
  16. Provider Business Practice Location Address Telephone Number
  17. Provider Enumeration Date
  18. Last Update Date
  19. Provider Gender Code
  20. Healthcare Provider Taxonomy Code 1
  21. Provider License Number 1
  22. Provider License Number State Code 1
  23. Healthcare Provider Primary Taxonomy Switch 1
  24. Is Sole Proprietor

Complete NPI Dataset

This page represents the complete record for NPI 1568851806. You can access the complete dataset, including a full list of field names, along with their values, and definitions as recorded by the NPI registry. Each field in the NPI record is explained, highlighting its significance and the possible values it can hold.

NPI: 1568851806
The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as ‘‘Provider location address postal code’’.
Entity Type Code: 1
The country code in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address country code’’.
The last name of the provider. If the provider is an individual, this is the legal name.
Provider First Name: ELIZABETH
The first name of the provider, if the provider is an individual.
Provider Credential Text: O.T.
The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider First Line Business Mailing Address: 524 BROOKWOOD LN
The city name in the location address of the provider being identified.
Provider Business Mailing Address City Name: RAYMORE
The State code in the location of the provider being identified.
Provider Business Mailing Address State Name: MO
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Mailing Address Postal Code: 640839404
The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as ‘‘Provider location address postal code’’.
Provider Business Mailing Address Country Code If outside U S : US
The country code in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address country code’’.
Provider First Line Business Practice Location Address: 7549 NORTH AVENUE
The fax number associated with the location address of the provider being identified.
Provider Business Practice Location Address City Name: PHEONIX
The date the provider was assigned a unique identifier (assigned an NPI).
Provider Business Practice Location Address State Name: AZ
The date that a record was last updated or changed.
Provider Business Practice Location Address Postal Code: 85021
The code designating the provider’s gender if the provider is a person.
Provider Business Practice Location Address Country Code If outside U S : US
Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
Provider Business Practice Location Address Telephone Number: 8888734221
Provider Enumeration Date: 1/9/2015
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date: 1/9/2015
The date that a record was last updated or changed.
Provider Gender Code: F
The code designating the provider’s gender if the provider is a person.
Healthcare Provider Taxonomy Code 1: 225XG0600X
Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
Provider License Number 1: 2008001152
The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with ‘‘provider taxonomy code’’.
Provider License Number State Code 1: MO
The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.
Healthcare Provider Primary Taxonomy Switch 1: Y
Is Sole Proprietor: N
Code indicating whether the provider is operating as a sole proprietor. Codes are: Y = Yes; N = No