Elizabeth M Pettis

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Practice address

6868 S Ash St
Oak Creek, WI 53154-1604

Phone

(414) 254-9434

Fax

(414) 215-7227

NPI assigned

Feb 5, 2020

Last updated

Feb 5, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Hands That Help

  • Home Health Agency
  • Oak Creek, WI
  • NPI 1497387740
  NPD Authorized official

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

{
    "created_epoch": "1580860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580860800000",
    "number": "1275165516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6868 S ASH ST",
            "city": "OAK CREEK",
            "state": "WI",
            "postal_code": "531541604",
            "telephone_number": "414-254-9434",
            "fax_number": "414-215-7227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6868 S ASH ST",
            "city": "OAK CREEK",
            "state": "WI",
            "postal_code": "531541604",
            "telephone_number": "414-254-9434",
            "fax_number": "414-215-7227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETTIS",
        "first_name": "ELIZABETH",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-05",
        "last_updated": "2020-02-05",
        "certification_date": "2020-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daisy Perez
• Connie Jean Perry, PT
• Gabrielle Perry
• Tamara Perryman, FNP
• Jenna Peterson
• Physiotherapy Associates Inc
• Leslie E Pierce, PA-C
• Sarah E Pierce, M.D.
• Maria Kouros Pintarro
• Katie Pogodzinski

• Home Health Agency in Oak Creek, WI
• Providers in Oak Creek, WI by specialty
• Home Health Agency in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2020; 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.