Elizabeth Diane Lott, M.S., OTR/L

Individual provider Active NPI Occupational Therapist · Rudy, AR

NPI 1235488024 · NPPES record last updated Sep 7, 2012

Key facts

NPI
1235488024
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
2530 (AR)
Practice address
3918 Pecan Grove Rd
Rudy, AR 72952-9026
Phone
(479) 632-6337
Fax
(479) 632-5916
NPI assigned
Sep 7, 2012
Sex
Female
Sole proprietor
Yes

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 and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
2530ARMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hand Rehabillitation of W. Arkansas, Inc. Past Accepting new patients
Hand Rehabilitation of W. Ark., Inc. Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 2530 AR Yes
Pediatric Occupational Therapist 225XP0200X 2530 AR

Addresses

Primary practice location

3918 Pecan Grove Rd
Rudy, AR 72952-9026

Mailing address

3918 Pecan Grove Rd
Rudy, AR 72952-9026
Phone (479) 632-6337

Other providers in Rudy, AR

All providers in Rudy, AR · Occupational Therapist in Arkansas

Sources for this page

Verify at the official NPI Registry.