Elizabeth M Fink, DPT, OCS

Key facts

NPI

1629454665

Entity type

Individual (NPI type 1)

Primary specialty

Physical Therapist 225100000X

License

PT015579 (OH)

Practice address

301 Satori Pkwy Ste 110
Avon, IN 46123-6407

Phone

(317) 272-4186

NPI assigned

Jul 31, 2015

Sex

Female

Sole proprietor

No

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.

• Drayer Physical Therapy Institute LLC Physical Therapist · York, PA · NPI 1053348409
  NPD (past) PHYSICAL THERAPIST

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

Yes

State licenses

Practice roles

Specialties & licenses

Addresses

Other names

• Elizabeth M Williams Former name

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 26, 2021.

{
    "created_epoch": "1438300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627257600000",
    "number": "1629454665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3270 CHERRYVIEW CT",
            "city": "NORTH BEND",
            "state": "OH",
            "postal_code": "450529526",
            "telephone_number": "513-604-7877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 SATORI PKWY STE 110",
            "city": "AVON",
            "state": "IN",
            "postal_code": "461236407",
            "telephone_number": "317-272-4186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FINK",
        "first_name": "ELIZABETH",
        "middle_name": "M",
        "credential": "DPT, OCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-31",
        "last_updated": "2021-07-26",
        "certification_date": "2021-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT015579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "WILLIAMS",
            "middle_name": "M",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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All providers in Avon, IN · Physical Therapist in Indiana