Active NPI
Windy Leigh Elliott, OTRL
- Pediatric Occupational Therapist
- Roanoke Rapids, NC
National Provider Identifier
1508904632
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 2091
- Practice address
- 4702 NC Highway 48
Roanoke Rapids, NC 27870-8505 - Phone
- (252) 532-7736
- Fax
- (434) 634-4834
- NPI assigned
- Feb 1, 2007
- Last updated
- Jun 20, 2019
- 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 |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 2091 | NC | Primary |
Addresses
Primary practice location
4702 NC Highway 48
Roanoke Rapids, NC 27870-8505
Mailing address
PO Box 1269
Gaston, NC 27832-1269
Phone (252) 532-7736
Other practice location 1
2467 Beef Rd
Emporia, VA 23847-5020
Phone (252) 532-7736
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7301156 | Medicaid | NC |
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 |
|---|---|---|---|
| 2091 | NC | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Team Therapy | Pediatrics | 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": "1170288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560988800000",
"number": "1508904632",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1269",
"city": "GASTON",
"state": "NC",
"postal_code": "278321269",
"telephone_number": "252-532-7736",
"fax_number": "252-376-1185"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4702 NC HIGHWAY 48",
"city": "ROANOKE RAPIDS",
"state": "NC",
"postal_code": "278708505",
"telephone_number": "252-532-7736",
"fax_number": "434-634-4834"
}
],
"practiceLocations": [
{
"address_1": "2467 Beef Rd",
"address_purpose": "LOCATION",
"city": "Emporia",
"state": "VA",
"postal_code": "238475020",
"country_code": "US",
"telephone_number": "252-532-7736",
"fax_number": "252-376-1185",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ELLIOTT",
"first_name": "WINDY",
"middle_name": "LEIGH",
"name_prefix": "Mrs.",
"credential": "OTRL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-01",
"last_updated": "2019-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "NC",
"license": "2091",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7301156",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Roanoke Rapids, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.