Individual provider Active NPI

Elizabeth Neill

  • Occupational Therapist
  • Little Elm, TX
National Provider Identifier
1285398917
Registry record updated Sep 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
120993 Issued in TX
Practice address
1225 Shell Beach Dr
Little Elm, TX 75068-5308
Phone
(972) 547-3575
NPI assigned
Oct 28, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2022

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 120993 TX Primary

Addresses

Primary practice location

1225 Shell Beach Dr
Little Elm, TX 75068-5308

Mailing address

260 E Davis St Apt 2335
McKinney, TX 75069-4583

Other practice location 1

260 E Davis St Apt 2335
McKinney, TX 75069-4583
Phone (540) 621-5393

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL ABC
Other URL ABC

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
120993TXMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1635379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664496000000",
    "number": "1285398917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 E DAVIS ST APT 2335",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750694583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 SHELL BEACH DR",
            "city": "LITTLE ELM",
            "state": "TX",
            "postal_code": "750685308",
            "telephone_number": "972-547-3575"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "260 E Davis St Apt 2335",
            "address_purpose": "LOCATION",
            "city": "McKinney",
            "state": "TX",
            "postal_code": "750694583",
            "country_code": "US",
            "telephone_number": "540-621-5393",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEILL",
        "first_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-28",
        "last_updated": "2022-09-30",
        "certification_date": "2022-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "120993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "ABC",
            "affiliation": "N",
            "address_1": "4215 Joe Ramsey Blvd E",
            "city": "Greenville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "754017852",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "ABC",
            "affiliation": "N",
            "address_1": "1225 Shell Beach Dr",
            "city": "Little Elm",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750685308",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Little Elm, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2022; 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.