Individual provider Active NPI

Elizabeth Rachael Palmer

  • Occupational Therapist
  • Wasilla, AK
National Provider Identifier
1154660272
Registry record updated Feb 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
1966 Issued in AK
Practice address
1786 E Neil Cir
Apt 2
Wasilla, AK 99654-8240
Phone
(978) 902-1367
NPI assigned
Feb 8, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2013

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 1966 AK Primary

Addresses

Primary practice location

1786 E Neil Cir
Apt 2
Wasilla, AK 99654-8240

Mailing address

1786 E Neil Cir
Apt 2
Wasilla, AK 99654-8240
Phone (978) 902-1367

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251230001840 ME Practitioner - Occupational Therapist in Private Practice 0345531877 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2012
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4956 Filbert St
Shady Side, MD 20764-9653

70 Saint Pierre Dr
Sidney, ME 04330-2751

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1966AKMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Baxter Occupational and Physical Therapy LLC CurrentSince Nov 1, 2025 Accepting new patients

Locations

6 Violette Way
Manchester, ME 04351
Phone (207) 900-1719

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": "1360281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360281600000",
    "number": "1154660272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1786 E NEIL CIR",
            "address_2": "APT 2",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996548240",
            "telephone_number": "978-902-1367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1786 E NEIL CIR",
            "address_2": "APT 2",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996548240",
            "telephone_number": "978-902-1367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMER",
        "first_name": "ELIZABETH",
        "middle_name": "RACHAEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-08",
        "last_updated": "2013-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AK",
            "license": "1966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wasilla, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2013; 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.

Verify at the official NPI Registry.