Individual provider Active NPI

Elisa Miller Pesto, MS, OTR/L

  • Occupational Therapist
  • Opelika, AL
National Provider Identifier
1194960716
Registry record updated Feb 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
2660 Issued in AL
Practice address
2450 Village Professional Dr N
Opelika, AL 36801-4734
Phone
(334) 740-1438
NPI assigned
Dec 10, 2008
Last updated
Feb 9, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2011

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 2660 AL Primary

Addresses

Primary practice location

2450 Village Professional Dr N
Opelika, AL 36801-4734

Mailing address

1043 Cornstalk LN
Auburn, AL 36830-3259
Phone (334) 740-1438

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240221000051 AL Practitioner - Occupational Therapist in Private Practice 4789028507 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
2660ALMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rehabworks LLC CurrentSince Feb 1, 2024 Accepting new patients
East Alabama Medical Center PastSince Feb 1, 2024 Accepting new patients

Locations

2000 Pepperell Pkwy
#5
Opelika, AL 36801
Phone (334) 528-3830

2450 Village Professional Dr N
Opelika, AL 36801
Phone (334) 528-1964

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1228867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297209600000",
    "number": "1194960716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1043 CORNSTALK LN",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368303259",
            "telephone_number": "334-740-1438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 VILLAGE PROFESSIONAL DR N",
            "city": "OPELIKA",
            "state": "AL",
            "postal_code": "368014734",
            "telephone_number": "334-740-1438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PESTO",
        "first_name": "ELISA",
        "middle_name": "MILLER",
        "credential": "MS, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-10",
        "last_updated": "2011-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AL",
            "license": "2660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Opelika, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.