Active NPI
Elizabeth Lax Watson, OTR
- Occupational Therapist
- Charlotte, NC
National Provider Identifier
1073574109
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 2483
- Practice address
- 9129 Monroe Rd
Suite 100-105
Charlotte, NC 28270-2429 - Phone
- (704) 847-3911
- Fax
- (704) 847-2033
- NPI assigned
- Mar 29, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 2483 | NC | Primary |
Addresses
Primary practice location
9129 Monroe Rd
Suite 100-105
Charlotte, NC 28270-2429
Mailing address
15446 Abbotts Bridge Rd
Charlotte, NC 28277-2182
Phone (704) 577-1091
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7301496 | Medicaid | NC |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crossway, Inc. | Occupational Therapist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369872000000",
"number": "1073574109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15446 ABBOTTS BRIDGE RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282772182",
"telephone_number": "704-577-1091"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9129 MONROE RD",
"address_2": "SUITE 100-105",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282702429",
"telephone_number": "704-847-3911",
"fax_number": "704-847-2033"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATSON",
"first_name": "ELIZABETH",
"middle_name": "LAX",
"name_prefix": "Ms.",
"credential": "OTR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-03-29",
"last_updated": "2013-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NC",
"license": "2483",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7301496",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.