Elizabeth A Proctor

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

Practice address

3 Pennsylvania PL
Ottumwa, IA 52501-2165

Phone

(641) 683-3372

NPI assigned

May 13, 2021

Last updated

May 13, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1620864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620864000000",
    "number": "1023682184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9303 170TH AVE",
            "city": "OTTUMWA",
            "state": "IA",
            "postal_code": "525018874",
            "telephone_number": "641-680-7614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 PENNSYLVANIA PL",
            "city": "OTTUMWA",
            "state": "IA",
            "postal_code": "525012165",
            "telephone_number": "641-683-3372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROCTOR",
        "first_name": "ELIZABETH",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-13",
        "last_updated": "2021-05-13",
        "certification_date": "2021-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony Uriah Potter, MA
• Michael Powell, PTA
• Taniya Pradhan, M.D.
• Prairie Hills at Ottumwa Operations LLC
• Cathy Pringle-Maletta, CADC
• Psychology Services of Ottumwa LLC
• Qualicenters Sioux City, LLC (Fresenius Medical Care Ottumwa)
• Paul S Quentzel, MD
• Brian Quinn, DO
• R. Ian Campbell D.D.S, PLLC

• Occupational Therapy Assistant in Ottumwa, IA
• Providers in Ottumwa, IA by specialty
• Occupational Therapy Assistant in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.