Individual provider Active NPI

Elizabeth Anne Vanderlinden, COTA/L

  • Rehabilitation Practitioner
  • Tampa, FL
National Provider Identifier
1285219113
Registry record updated Mar 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation PractitionerTaxonomy code 225400000X
License
450685 Issued in FL
Practice address
4949 Marbrisa Dr Apt 706
Tampa, FL 33624-6331
Phone
(517) 626-1219
NPI assigned
Mar 11, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Practitioner 225400000X 450685 FL Primary

Addresses

Primary practice location

4949 Marbrisa Dr Apt 706
Tampa, FL 33624-6331

Mailing address

4949 Marbrisa Dr Apt 706
Tampa, FL 33624-6331
Phone (517) 626-1219

Other identifiers 1

IdentifierTypeStateIssuer
HA-031021-GP6RWMedicaidFL

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

LicenseStateTypeSpecialty
450685FLMDRehabilitation Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1615420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615420800000",
    "number": "1285219113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4949 MARBRISA DR APT 706",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336246331",
            "telephone_number": "517-626-1219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4949 MARBRISA DR APT 706",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336246331",
            "telephone_number": "517-626-1219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDERLINDEN",
        "first_name": "ELIZABETH",
        "middle_name": "ANNE",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-11",
        "last_updated": "2021-03-11",
        "certification_date": "2021-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": "FL",
            "license": "450685",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HA-031021-GP6RW",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2021; 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.