Elizabeth J Alexander, OTR
Individual provider Active NPI Pediatric Occupational Therapist · Riverside, RI
NPI 1629138375 · NPPES record last updated Oct 18, 2007
Key facts
- NPI
- 1629138375
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Occupational Therapist 225XP0200X
- License
- OT00840 (RI)
- Practice address
- 1011 Veterans Memorial Pkwy
Riverside, RI 02915-5061 - Phone
- (401) 432-1000
- Fax
- (401) 432-1500
- NPI assigned
- Dec 11, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT00840 | RI | MD | Pediatric Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | OT00840 | RI | Yes |
Addresses
Primary practice location
1011 Veterans Memorial Pkwy
Riverside, RI 02915-5061
Mailing address
1011 Veterans Memorial Parkway
East Providence, RI 02915
Phone (401) 432-1000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 409157 | Other | RI | BLUE CHIP |
| 23477-5 | Other | RI | BLUE CROSS |
Other names
- Elizabeth J Wilson
Other providers in Riverside, RI
- Katelyn Affleck
- Katelyn R Agnew
- Mary Angeli Maganto Aguinaldo
- Jesus Ismael Aguirre Jr.
- Ahavah Home LLC
- Hina Ali
- Faith N Allen
- Alsstate Medical Staffing LLC
- Michelle Lopes Alves
- Robert D. Amaral
All providers in Riverside, RI · Pediatric Occupational Therapist in Rhode Island
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 18, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.