Active NPI
Elizabeth Seibel
- Occupational Therapy Assistant
- Clearwater, FL
National Provider Identifier
1609234004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- OTA-19140
- Practice address
- 1111 S Highland Ave
Clearwater, FL 33756-4432 - Phone
- (727) 446-0581
- NPI assigned
- Feb 1, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | WA | ||
| Massage Therapist | 225700000X | MA-99112 | FL | |
| Occupational Therapy Assistant | 224Z00000X | OTA-19140 | FL | Primary |
Addresses
Primary practice location
1111 S Highland Ave
Clearwater, FL 33756-4432
Mailing address
4500 Overlook Dr NE Apt 210
Saint Petersburg, FL 33703-4324
Phone (562) 400-6782
Other practice location 1
1270 Turner St
Clearwater, FL 33756-5921
Phone (727) 443-7639
Other practice location 2
4500 Overlook Dr NE Apt 210
St Petersburg, FL 33703-4324
Phone (562) 400-6782
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 |
|---|---|---|---|
| OTA-19140 | FL | MD | Occupational Therapy Assistant |
| MA-99112 | FL | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1454284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672876800000",
"number": "1609234004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4500 OVERLOOK DR NE APT 210",
"city": "SAINT PETERSBURG",
"state": "FL",
"postal_code": "337034324",
"telephone_number": "562-400-6782"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 S HIGHLAND AVE",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337564432",
"telephone_number": "727-446-0581"
}
],
"practiceLocations": [
{
"address_1": "1270 Turner St",
"address_purpose": "LOCATION",
"city": "Clearwater",
"state": "FL",
"postal_code": "337565921",
"country_code": "US",
"telephone_number": "727-443-7639",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4500 Overlook Dr NE Apt 210",
"address_purpose": "LOCATION",
"city": "St Petersburg",
"state": "FL",
"postal_code": "337034324",
"country_code": "US",
"telephone_number": "562-400-6782",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SEIBEL",
"first_name": "ELIZABETH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-02-01",
"last_updated": "2023-01-05",
"certification_date": "2022-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": null,
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "MA-99112",
"primary": false
},
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "FL",
"license": "OTA-19140",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clearwater, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.