Elaina Noelle Fisk

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

023802 Issued in NY

Practice address

929 York St
Utica, NY 13502-3929

Phone

(315) 520-0420

NPI assigned

Sep 4, 2019

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

State licenses

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

{
    "created_epoch": "1567555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704326400000",
    "number": "1083263925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2811 BRIGHTON PL",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135016517",
            "telephone_number": "315-520-0420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 YORK ST",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135023929",
            "telephone_number": "315-520-0420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISK",
        "first_name": "ELAINA",
        "middle_name": "NOELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-04",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NY",
            "license": "023802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Finkle
• Vincent Carmine Fiocco, PA
• Firooz Ravangard, MD PC
• Sandra Carroll Fish, RN BSN MS FNPC
• Sharon Efraeem Fishberg, MD, MSC
• Mary Ellen Fitzgerald, LCSW R
• Karen C Flick, NP
• Donald Anthony Flihan, DDS, MD
• Susan Fliss
• Ann Margaret Flood

• Pediatric Occupational Therapist in Utica, NY
• Providers in Utica, NY by specialty
• Pediatric Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2024; 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.