Active NPI
Elizabeth Sang Watson, OTR
- Occupational Therapist
- Chelsea, MI
National Provider Identifier
1649323700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 5201005750
- Practice address
- 14089 Scio Church Rd
Chelsea, MI 48118-9613 - Phone
- (734) 475-4304
- Fax
- (866) 859-1296
- NPI assigned
- Jan 19, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 5201005750 | MI | Primary |
Addresses
Primary practice location
14089 Scio Church Rd
Chelsea, MI 48118-9613
Mailing address
14089 Scio Church Rd
Chelsea, MI 48118-9613
Phone (734) 475-4304
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5201005750 | Other | MI | STATE LICENSE NUMBER |
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 |
|---|---|---|---|
| 5201005750 | MI | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1649323700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14089 SCIO CHURCH RD",
"city": "CHELSEA",
"state": "MI",
"postal_code": "481189613",
"telephone_number": "734-475-4304",
"fax_number": "866-859-1296"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14089 SCIO CHURCH RD",
"city": "CHELSEA",
"state": "MI",
"postal_code": "481189613",
"telephone_number": "734-475-4304",
"fax_number": "866-859-1296"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATSON",
"first_name": "ELIZABETH",
"middle_name": "SANG",
"credential": "OTR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-19",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MI",
"license": "5201005750",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NUMBER",
"identifier": "5201005750",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chelsea, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.