Active NPI
Elizabeth Anne Wizner, OTR/L
- Occupational Therapist
- Wilmington, NC
National Provider Identifier
1578865689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 1500
- Practice address
- 2744 S 17TH St
Wilmington, NC 28412-6606 - Phone
- (910) 794-3319
- NPI assigned
- Nov 22, 2010
- 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 | 1500 | NC | Primary |
Addresses
Primary practice location
2744 S 17TH St
Wilmington, NC 28412-6606
Mailing address
4949 Lake Renaissance Cir
Wilmington, NC 28409-3304
Phone (910) 794-2184
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 |
|---|---|---|---|
| 1500 | NC | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1290384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1290384000000",
"number": "1578865689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4949 LAKE RENAISSANCE CIR",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284093304",
"telephone_number": "910-794-2184"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2744 S 17TH ST",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284126606",
"telephone_number": "910-794-3319"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIZNER",
"first_name": "ELIZABETH",
"middle_name": "ANNE",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-11-22",
"last_updated": "2010-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NC",
"license": "1500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.