Individual provider Active NPI

Ila Briggs Halby, OTR/L

  • Pediatric Occupational Therapist
  • Lincoln, VT
National Provider Identifier
1629300249
Registry record updated Feb 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
072.0044970 Issued in VT
Practice address
950 Zeno Rd
Lincoln, VT 05443-9107
Phone
(508) 989-5343
NPI assigned
Feb 7, 2010
Last updated
Feb 7, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 072.0044970 VT Primary

Addresses

Primary practice location

950 Zeno Rd
Lincoln, VT 05443-9107

Mailing address

950 Zeno Rd
Lincoln, VT 05443-9107
Phone (508) 989-5343

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

LicenseStateTypeSpecialty
072.0044970VTMDPediatric Occupational Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1265500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265500800000",
    "number": "1629300249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 ZENO RD",
            "city": "LINCOLN",
            "state": "VT",
            "postal_code": "054439107",
            "telephone_number": "508-989-5343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 ZENO RD",
            "city": "LINCOLN",
            "state": "VT",
            "postal_code": "054439107",
            "telephone_number": "508-989-5343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALBY",
        "first_name": "ILA",
        "middle_name": "BRIGGS",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-07",
        "last_updated": "2010-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "VT",
            "license": "072.0044970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 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.

Verify at the official NPI Registry.