Elizabeth Desonia, COTA

Primary specialty

Physical Rehabilitation Occupational TherapistTaxonomy code 225XP0019X

License

32003560A Issued in IN

Practice address

950 Cross Ave
Madison, IN 47250-2002

Phone

(812) 273-4640

NPI assigned

Jul 23, 2021

Last updated

Jul 23, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1626998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626998400000",
    "number": "1659944981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 PARKVIEW DR",
            "city": "MADISON",
            "state": "IN",
            "postal_code": "472502930",
            "telephone_number": "812-290-6528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 CROSS AVE",
            "city": "MADISON",
            "state": "IN",
            "postal_code": "472502002",
            "telephone_number": "812-273-4640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESONIA",
        "first_name": "ELIZABETH",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-23",
        "last_updated": "2021-07-23",
        "certification_date": "2021-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "IN",
            "license": "32003560A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David F Butler, DDS
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• Tracie L Davis
• Landyn Deckert, OTR/L
• Carleigh Deitsch, OD
• Tyler Scott Deuser, MBA, ATC, LAT, CSCS
• Cathryn Irene Dhonau, M.S. CCC-SLP
• Deborah Jean Dilk, APRN
• Emily Young Dillman, DDS
• Shelby Dorsey, OTD,OTR/L

• Physical Rehabilitation Occupational Therapist in Madison, IN
• Providers in Madison, IN by specialty
• Physical Rehabilitation Occupational Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2021; 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.