Active NPI
Eliza B Rakip
- Occupational Therapist
- Lowell, MA
National Provider Identifier
1336273010
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 8803
- Practice address
- 1 Hospital Dr
Lowell, MA 01852-1311 - Phone
- (978) 458-1411
- Fax
- (978) 934-8210
- NPI assigned
- Mar 15, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 8803 | MA | Primary |
Addresses
Primary practice location
1 Hospital Dr
Lowell, MA 01852-1311
Mailing address
100 Greenmeadow Dr
Tewksbury, MA 01876-1104
Phone (508) 577-5329
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
| License | State | Type | Specialty |
|---|---|---|---|
| 8803 | MA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1336273010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 GREENMEADOW DR",
"city": "TEWKSBURY",
"state": "MA",
"postal_code": "018761104",
"telephone_number": "508-577-5329"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 HOSPITAL DR",
"city": "LOWELL",
"state": "MA",
"postal_code": "018521311",
"telephone_number": "978-458-1411",
"fax_number": "978-934-8210"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAKIP",
"first_name": "ELIZA",
"middle_name": "B",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MA",
"license": "8803",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lowell, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.