Active NPI
Elizabeth Regina Finkle, O.T.R.
- Occupational Therapist
- Port St Lucie, FL
National Provider Identifier
1235465782
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT 12319
- Practice address
- 889 SW Grand Reserve Blvd
Port St Lucie, FL 34986-2346 - Phone
- (772) 336-1301
- Fax
- (772) 336-3190
- NPI assigned
- Oct 19, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT 12319 | FL | Primary |
Addresses
Primary practice location
889 SW Grand Reserve Blvd
Port St Lucie, FL 34986-2346
Mailing address
889 SW Grand Reserve Blvd
Port St Lucie, FL 34986-2346
Phone (772) 336-1301
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
| License | State | Type | Specialty |
|---|---|---|---|
| OT 12319 | FL | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1255910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1255910400000",
"number": "1235465782",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "889 SW GRAND RESERVE BLVD",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349862346",
"telephone_number": "772-336-1301",
"fax_number": "772-336-3190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "889 SW GRAND RESERVE BLVD",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349862346",
"telephone_number": "772-336-1301",
"fax_number": "772-336-3190"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FINKLE",
"first_name": "ELIZABETH",
"middle_name": "REGINA",
"credential": "O.T.R.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-10-19",
"last_updated": "2009-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "OT 12319",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port St Lucie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.