NPIMap

Individual provider Active NPI

Elizebette Ceronio, PT

  • Human Factors Occupational Therapist
  • Alexandria, LA
National Provider Identifier
1033301353
Registry record updated Aug 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Human Factors Occupational TherapistTaxonomy code 225XH1300X
License
OTT.Z11419 Issued in LA
Practice address
5505 Mildred Ave
Alexandria, LA 71301-2823
Phone
(318) 473-2270
NPI assigned
Aug 10, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 10, 2007

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OTT.Z11419 LA
Ergonomics Occupational Therapist 225XE1200X OTT.Z11419 LA
Hand Occupational Therapist 225XH1200X OTT.Z11419 LA
Human Factors Occupational Therapist 225XH1300X OTT.Z11419 LA Primary
Neurorehabilitation Occupational Therapist 225XN1300X OTT.Z11419 LA
Pediatric Occupational Therapist 225XP0200X OTT.Z11419 LA
Driving and Community Mobility Occupational Therapist 225XR0403X OTT.Z11419 LA

Addresses

Primary practice location

5505 Mildred Ave
Alexandria, LA 71301-2823

Mailing address

5505 Mildred Ave
Alexandria, LA 71301-2823
Phone (318) 473-2270

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
OTT.Z11419LAMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1186704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186704000000",
    "number": "1033301353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5505 MILDRED AVE",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713012823",
            "telephone_number": "318-473-2270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5505 MILDRED AVE",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713012823",
            "telephone_number": "318-473-2270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CERONIO",
        "first_name": "ELIZEBETTE",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-10",
        "last_updated": "2007-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "LA",
            "license": "OTT.Z11419",
            "primary": false
        },
        {
            "code": "225XE1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Ergonomics",
            "state": "LA",
            "license": "OTT.Z11419",
            "primary": false
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "LA",
            "license": "OTT.Z11419",
            "primary": false
        },
        {
            "code": "225XH1300X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Human Factors",
            "state": "LA",
            "license": "OTT.Z11419",
            "primary": true
        },
        {
            "code": "225XN1300X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Neurorehabilitation",
            "state": "LA",
            "license": "OTT.Z11419",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "LA",
            "license": "OTT.Z11419",
            "primary": false
        },
        {
            "code": "225XR0403X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Driving and Community Mobility",
            "state": "LA",
            "license": "OTT.Z11419",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2007; 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.