Active NPI
Elizabeth Blake Curtis
- Hand Occupational Therapist
- Orange Park, FL
National Provider Identifier
1114914454
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hand Occupational Therapist
- License
- OT0001647
- Practice address
- 1409 Kingsley Ave
Suite 6B
Orange Park, FL 32073-4537 - Phone
- (904) 215-2422
- Fax
- (904) 215-6122
- NPI assigned
- Oct 3, 2005
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Hand Occupational Therapist | 225XH1200X | OT0001647 | FL | Primary |
Addresses
Primary practice location
1409 Kingsley Ave
Suite 6B
Orange Park, FL 32073-4537
Mailing address
1409 Kingsley Ave
Suite 6B
Orange Park, FL 32073-4537
Phone (904) 215-2422
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
| License | State | Type | Specialty |
|---|---|---|---|
| 000 | FL | MD | Developmental Therapist |
| OT0001647 | FL | MD | Hand Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical & Sports Rehabilitation Center Inc | Hand | 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1235088000000",
"number": "1114914454",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1409 KINGSLEY AVE",
"address_2": "SUITE 6B",
"city": "ORANGE PARK",
"state": "FL",
"postal_code": "320734537",
"telephone_number": "904-215-2422",
"fax_number": "904-215-6122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1409 KINGSLEY AVE",
"address_2": "SUITE 6B",
"city": "ORANGE PARK",
"state": "FL",
"postal_code": "320734537",
"telephone_number": "904-215-2422",
"fax_number": "904-215-6122"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CURTIS",
"first_name": "ELIZABETH",
"middle_name": "BLAKE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-03",
"last_updated": "2009-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "225XH1200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Hand",
"state": "FL",
"license": "OT0001647",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orange Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.