Active NPI
Elizabeth A George, OTRL
- Occupational Therapist
- Port Charlotte, FL
National Provider Identifier
1114122298
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT12690
- Practice address
- 24011 Madaca LN Apt 6-204
Port Charlotte, FL 33954-2806 - Phone
- (717) 856-5552
- NPI assigned
- Jun 18, 2007
- Last updated
- Jul 8, 2007
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT12690 | FL | Primary |
| Occupational Therapist | 225X00000X | OC010147 | PA | |
| Occupational Therapist | 225X00000X | 05860 | MD | |
| Occupational Therapist | 225X00000X | 0119004544 | VA |
Addresses
Primary practice location
24011 Madaca LN Apt 6-204
Port Charlotte, FL 33954-2806
Mailing address
2354 Walnut Bottom Rd
Carlisle, PA 17013-9374
Phone (717) 856-5552
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
| License | State | Type | Specialty |
|---|---|---|---|
| 05860 | MD | MD | Clinical Social Worker |
| OT12690 | FL | MD | Occupational Therapist |
| OC010147 | PA | MD | Occupational Therapist |
| 0119004544 | VA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1114122298",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2354 WALNUT BOTTOM RD",
"city": "CARLISLE",
"state": "PA",
"postal_code": "170139374",
"telephone_number": "717-856-5552"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24011 MADACA LN APT 6-204",
"city": "PORT CHARLOTTE",
"state": "FL",
"postal_code": "339542806",
"telephone_number": "717-856-5552"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEORGE",
"first_name": "ELIZABETH",
"middle_name": "A",
"name_prefix": "Ms.",
"credential": "OTRL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "OT12690",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "PA",
"license": "OC010147",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MD",
"license": "05860",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "VA",
"license": "0119004544",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port Charlotte, FL
- Genesiscare USA of Florida LLC (Marc A Melser MD)
- Genesiscare USA of Florida LLC (Gulf Coast Urology)
- Genesiscare USA of Florida LLC (Matthew R Bagan DO)
- George Harris (George's Adult Family Care Home)
- George Nackley MD PL
- Gerardo E Garcia MD LLC
- Lori A Gerdes, CRNA
- Taylor Anne Gerich
- Robert Martin Gerofsky, M.A., ATC,LAT
- Irina F Gershin-Stevens, DO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.