Individual provider Active NPI

Elizabeth Joan Linssen, PT, DPT

  • Physical Therapist
  • Cottonwood, AZ
National Provider Identifier
1306884390
Registry record updated May 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1424 Issued in AZ
Practice address
411 S 14TH St
Suite 102
Cottonwood, AZ 86326-3478
Phone
(928) 634-9518
Fax
(928) 646-5404
NPI assigned
Jun 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1424 AZ Primary

Addresses

Primary practice location

411 S 14TH St
Suite 102
Cottonwood, AZ 86326-3478

Mailing address

411 S 14TH St
Suite 102
Cottonwood, AZ 86326-3478
Phone (928) 634-9518

Other identifiers 3

IdentifierTypeStateIssuer
781783001MedicaidAZ
611276600OtherAZUSDOL FECA
AZ0464050OtherAZBC/BS

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
1424AZMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210032000000",
    "number": "1306884390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 S 14TH ST",
            "address_2": "SUITE 102",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863263478",
            "telephone_number": "928-634-9518",
            "fax_number": "928-646-5404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 S 14TH ST",
            "address_2": "SUITE 102",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863263478",
            "telephone_number": "928-634-9518",
            "fax_number": "928-646-5404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINSSEN",
        "first_name": "ELIZABETH",
        "middle_name": "JOAN",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-03",
        "last_updated": "2008-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "1424",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "781783001",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "USDOL  FECA",
            "identifier": "611276600",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "AZ0464050",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cottonwood, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2008; 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.