Active NPI
Elise B McGarva, OTR L
- Physical Rehabilitation Occupational Therapist
- Lake Worth, FL
National Provider Identifier
1598733115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Rehabilitation Occupational Therapist
- License
- OT12655
- Practice address
- 1609 N Federal Hwy
Lake Worth, FL 33460-6644 - Phone
- (561) 702-7884
- Fax
- (561) 629-9356
- NPI assigned
- Mar 9, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT12655 | FL | |
| Physical Rehabilitation Occupational Therapist | 225XP0019X | OT12655 | FL | Primary |
Addresses
Primary practice location
1609 N Federal Hwy
Lake Worth, FL 33460-6644
Mailing address
1609 N Federal Hwy
Lake Worth, FL 33460-6644
Phone (561) 702-7884
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT12655 | FL | MD | Physical Rehabilitation Occupational Therapist |
| 4514 | NC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Moonflower & Morning Glory, Inc | 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 and National Provider Directory roles.
-
- Psychologist
- Lake Worth, FL
- NPI 1124422647
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548806400000",
"number": "1598733115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1609 N FEDERAL HWY",
"city": "LAKE WORTH",
"state": "FL",
"postal_code": "334606644",
"telephone_number": "561-702-7884",
"fax_number": "561-629-9356"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1609 N FEDERAL HWY",
"city": "LAKE WORTH",
"state": "FL",
"postal_code": "334606644",
"telephone_number": "561-702-7884",
"fax_number": "561-629-9356"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGARVA",
"first_name": "ELISE",
"middle_name": "B",
"name_prefix": "Ms.",
"credential": "OTR L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-09",
"last_updated": "2019-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "OT12655",
"primary": false
},
{
"code": "225XP0019X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Physical Rehabilitation",
"state": "FL",
"license": "OT12655",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Worth, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.