Individual provider Active NPI

Elizabeth Browder

  • Pediatric Occupational Therapist
  • Roanoke Rapids, NC
National Provider Identifier
1154890341
Registry record updated Nov 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
7766 Issued in NC
Practice address
4702 NC Highway 48
Roanoke Rapids, NC 27870-8505
Phone
(252) 532-7736
Fax
(252) 376-1185
NPI assigned
Nov 16, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 7766 NC
Pediatric Occupational Therapist 225XP0200X 7766 NC Primary

Addresses

Primary practice location

4702 NC Highway 48
Roanoke Rapids, NC 27870-8505

Mailing address

812 Drexel Rd
Rocky Mount, NC 27803-2172
Phone (252) 908-2770

Other practice location 1

812 Drexel Rd
Rocky Mount, NC 27803-2172
Phone (252) 908-2770

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

LicenseStateTypeSpecialty
7766NCMDPediatric Occupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1542326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542326400000",
    "number": "1154890341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "812 DREXEL RD",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278032172",
            "telephone_number": "252-908-2770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4702 NC HIGHWAY 48",
            "city": "ROANOKE RAPIDS",
            "state": "NC",
            "postal_code": "278708505",
            "telephone_number": "252-532-7736",
            "fax_number": "252-376-1185"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "812 Drexel Rd",
            "address_purpose": "LOCATION",
            "city": "Rocky Mount",
            "state": "NC",
            "postal_code": "278032172",
            "country_code": "US",
            "telephone_number": "252-908-2770",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWDER",
        "first_name": "ELIZABETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-16",
        "last_updated": "2018-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "7766",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NC",
            "license": "7766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke Rapids, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2018; 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.