Individual provider Active NPI

Elizabeth Louise Comrie, OTRL

  • Occupational Therapist
  • Chagrin Falls, OH
National Provider Identifier
1720115587
Registry record updated Jul 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT-5034 Issued in OH
Practice address
16706 Chillicothe Rd Ste 700
Lifespan Learning Communities
Chagrin Falls, OH 44023-4573
Phone
(440) 708-2219
NPI assigned
Feb 28, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT-5034 OH Primary

Addresses

Primary practice location

16706 Chillicothe Rd Ste 700
Lifespan Learning Communities
Chagrin Falls, OH 44023-4573

Mailing address

6666 Stone Rd
Hudson, OH 44236-3523
Phone (440) 590-1804

Other names 1

  • Elizabeth Louise Bakalar Former name

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
OT-5034OHMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184025600000",
    "number": "1720115587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6666 STONE RD",
            "city": "HUDSON",
            "state": "OH",
            "postal_code": "442363523",
            "telephone_number": "440-590-1804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16706 CHILLICOTHE RD STE 700",
            "address_2": "LIFESPAN LEARNING COMMUNITIES",
            "city": "CHAGRIN FALLS",
            "state": "OH",
            "postal_code": "440234573",
            "telephone_number": "440-708-2219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COMRIE",
        "first_name": "ELIZABETH",
        "middle_name": "LOUISE",
        "credential": "OTRL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-28",
        "last_updated": "2007-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OH",
            "license": "OT-5034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "BAKALAR",
            "middle_name": "LOUISE",
            "credential": "OTRL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chagrin Falls, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.

Verify at the official NPI Registry.