Elizabeth Ann Wivell, OTR/L, L.AC. , DACM

Primary specialty

SpecialistTaxonomy code 174400000X

Practice address

34 West 27TH Street
Suite 1212
New York City, NY 10001-2320

Phone

(917) 474-7821

NPI assigned

Dec 29, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620691200000",
    "number": "1497811889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 STUYVESANT OVAL",
            "address_2": "APT 9G",
            "city": "NEW YORK CITY",
            "state": "NY",
            "postal_code": "10009",
            "telephone_number": "917-474-7821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 WEST 27TH STREET",
            "address_2": "SUITE 1212",
            "city": "NEW YORK CITY",
            "state": "NY",
            "postal_code": "100012320",
            "telephone_number": "917-474-7821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIVELL",
        "first_name": "ELIZABETH",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "OTR/L, L.AC. , DACM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-29",
        "last_updated": "2021-05-11",
        "certification_date": "2021-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "003825",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "008629",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dawn K Weldon, D.D.S., M.S.
• David Stephenson Wellman, MD
• Alfred Wiener, MD
• Florence Williams, MA RN
• Remy Williams
• Linda Whinery Wolf, MSW LCSW
• Kenneth Richard Wong, M.D.
• Kevin Wright, M.D.
• Jonathan Xu, MD
• Elaine S Yatzkan, LICENSED CLINICAL SO

• Specialist in New York City, NY
• Providers in New York City, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2021; 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.