Elizabeth S. Oppewall, R.P.T.

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

ME845 Issued in ME

Practice address

29 Ridge Acres LN
Southwest Harbor, ME 04679-4239

Phone

(207) 244-9048

NPI assigned

Oct 21, 2010

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 21, 2010.

{
    "created_epoch": "1287619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287619200000",
    "number": "1295045482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 761",
            "city": "SOUTHWEST HARBOR",
            "state": "ME",
            "postal_code": "046790761",
            "telephone_number": "207-244-9048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 RIDGE ACRES LN",
            "city": "SOUTHWEST HARBOR",
            "state": "ME",
            "postal_code": "046794239",
            "telephone_number": "207-244-9048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OPPEWALL",
        "first_name": "ELIZABETH",
        "middle_name": "S.",
        "name_prefix": "Ms.",
        "credential": "R.P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-21",
        "last_updated": "2010-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "ME",
            "license": "ME845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Southwest Harbor, ME
• Pediatric Physical Therapist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2010; 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.