Individual provider Active NPI

Elizabeth A Felten, OTR L

  • Occupational Therapist
  • Blackwater, MO
National Provider Identifier
1487872420
Registry record updated Feb 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
000311 Issued in MO
Practice address
Blackwater R-II
300 Dodridge
Blackwater, MO 65322-0117
Phone
(660) 846-2461
Fax
(660) 846-2431
NPI assigned
Apr 23, 2007
Last updated
Feb 20, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2009

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 000311 MO Primary

Addresses

Primary practice location

Blackwater R-II
300 Dodridge
Blackwater, MO 65322-0117

Mailing address

PO Box 117
300 Dodridge
Blackwater, MO 65322-0117
Phone (660) 846-2461

Other identifiers 1

IdentifierTypeStateIssuer
476814512MedicaidMO

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
000311MOMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Blackwater School Dist R 2 Occupational Therapist Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235088000000",
    "number": "1487872420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 117",
            "address_2": "300 DODRIDGE",
            "city": "BLACKWATER",
            "state": "MO",
            "postal_code": "653220117",
            "telephone_number": "660-846-2461",
            "fax_number": "660-846-2431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BLACKWATER R-II",
            "address_2": "300 DODRIDGE",
            "city": "BLACKWATER",
            "state": "MO",
            "postal_code": "653220117",
            "telephone_number": "660-846-2461",
            "fax_number": "660-846-2431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELTEN",
        "first_name": "ELIZABETH",
        "middle_name": "A",
        "credential": "OTR L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-23",
        "last_updated": "2009-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": "000311",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "476814512",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Blackwater, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2009; 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.