Active NPI
Elizabeth Ann Locke, OTR/L
- Occupational Therapist
- Wilmington, NC
National Provider Identifier
1144403973
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 11912
- Practice address
- 414 Chablis Way
Wilmington, NC 28411-8758 - Phone
- (443) 994-6711
- NPI assigned
- Dec 15, 2007
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | |||
| Occupational Therapist | 225X00000X | 05286 | MD | |
| Occupational Therapist | 225X00000X | 11912 | NC | Primary |
Addresses
Primary practice location
414 Chablis Way
Wilmington, NC 28411-8758
Mailing address
414 Chablis Way
Wilmington, NC 28411-8758
Phone (443) 994-6711
Other practice location 1
4130 Oleander Dr Ste 101
Wilmington, NC 28403
Phone (910) 679-8385
Other names 1
- Elizabeth Ann Ware
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
414 Chablis Way
Wilmington, NC 28411-8758
Phone (443) 994-6711
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Quality Independence Therapy, PLLC | Current | Accepting new patients | |
| Coastline Therapy Group, LLC | Occupational Therapist | Past | Accepting new patients |
| Coastal Speech and Reading Center | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Physical Rehabilitation Occupational Therapist
- Wilmington, NC
- NPI 1033884226
-
- Speech-Language Pathologist
- Lumberton, NC
- NPI 1649626466
-
- Speech-Language Pathologist
- Wilmington, NC
- NPI 1730681388
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628726400000",
"number": "1144403973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "414 CHABLIS WAY",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284118758",
"telephone_number": "443-994-6711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "414 CHABLIS WAY",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284118758",
"telephone_number": "443-994-6711"
}
],
"practiceLocations": [
{
"address_1": "4130 Oleander Dr Ste 101",
"address_purpose": "LOCATION",
"city": "Wilmington",
"state": "NC",
"postal_code": "28403",
"country_code": "US",
"telephone_number": "910-679-8385",
"fax_number": "910-679-8387",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LOCKE",
"first_name": "ELIZABETH",
"middle_name": "ANN",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-12-15",
"last_updated": "2021-08-12",
"certification_date": "2021-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MD",
"license": "05286",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NC",
"license": "11912",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ELIZABETH",
"last_name": "WARE",
"middle_name": "ANN",
"credential": "OTR",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.