Individual provider Active NPI

Elisabeth Braun, MOT/L

  • Occupational Therapist
  • Silver Spring, MD
National Provider Identifier
1083092522
Registry record updated May 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
100000064 Issued in DC
Practice address
2212 Washington Ave Apt 101
Silver Spring, MD 20910-2621
Phone
(202) 256-7844
NPI assigned
May 17, 2015
Last updated
May 17, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 17, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 100000064 DC Primary

Addresses

Primary practice location

2212 Washington Ave Apt 101
Silver Spring, MD 20910-2621

Mailing address

2212 Washington Ave Apt 101
Silver Spring, MD 20910-2621
Phone (202) 256-7844

Other names 1

  • Elisabeth Dodge Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
100000064DCMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1431820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431820800000",
    "number": "1083092522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2212 WASHINGTON AVE APT 101",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209102621",
            "telephone_number": "202-256-7844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2212 WASHINGTON AVE APT 101",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209102621",
            "telephone_number": "202-256-7844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAUN",
        "first_name": "ELISABETH",
        "name_prefix": "Mrs.",
        "credential": "MOT/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-17",
        "last_updated": "2015-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "DC",
            "license": "100000064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELISABETH",
            "last_name": "DODGE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2015; 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.