Elizabeth Kathleen Hares, OTR/L MOT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

15673 Issued in CA

Practice address

861 Auto Center Dr.
#D
Palmdale, CA 93551

Phone

(661) 945-7878

Fax

(661) 945-7553

NPI assigned

Nov 10, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Elizabeth Kathleen Hares Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1447113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447113600000",
    "number": "1174996367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "861 AUTO CENTER DR.",
            "address_2": "#D",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "93551",
            "telephone_number": "661-945-7878",
            "fax_number": "661-945-7553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "861 AUTO CENTER DR.",
            "address_2": "#D",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "93551",
            "telephone_number": "661-945-7878",
            "fax_number": "661-945-7553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARES",
        "first_name": "ELIZABETH",
        "middle_name": "KATHLEEN",
        "credential": "OTR/L MOT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-10",
        "last_updated": "2015-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "15673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "HARES",
            "middle_name": "KATHLEEN",
            "credential": "OTR/ L MOT MASTERS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Abel Happy Mathew
• Ali Adil Haq, MD
• Reemah Harb
• Lauren Hardcastle, BCBA
• Victoria L Hardy
• Harmandeep K. Gill Medical Corporation
• Janice Harris-Williams
• Brandi Nichole Harris
• Celeste Tatiana Harris
• Clarence Van Harris Jr.

• Occupational Therapist in Palmdale, CA
• Providers in Palmdale, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2015; 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.