Elizabeth Fenn, MSOT, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

46TR00761100 Issued in NJ

Practice address

21 Greenwood Dr
Sewell, NJ 08080-1556

Phone

(856) 266-2519

NPI assigned

Dec 6, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Multiple Sclerosis Specialty CenterGroup PAC ID 6901965300, 16 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Multiple Sclerosis Specialty Center

  • Neurology Physical Therapist
  • Horsham, PA
  • NPI 1124274501

  NJ

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1480982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480982400000",
    "number": "1376087585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 GREENWOOD DR",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080801556",
            "telephone_number": "856-266-2519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 GREENWOOD DR",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080801556",
            "telephone_number": "856-266-2519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FENN",
        "first_name": "ELIZABETH",
        "credential": "MSOT, OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-06",
        "last_updated": "2016-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00761100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aliyah Rene Farrow
• Andrea Lynn Farwell, FNP
• Celine Fayad, DO
• Caitlin Fazio, NP
• Mitchell Federico, OT
• Andres Ferber, M.D.
• Raymond A Ferrara, DPM
• Ferroni Sleep
• Richard Neal Feuer, D.M.D.
• Stefanie Fiderer, D.O.

• All providers in Sewell, NJ
• Occupational Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.