Individual provider Active NPI

Elizabeth Jane Falso, OTR L/CHP

  • Occupational Therapist
  • Everett, WA
National Provider Identifier
1760507693
Registry record updated Nov 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT 00001586 Issued in WA
Practice address
12702 35TH Ave SE
Everett, WA 98208
Phone
(425) 948-7186
Fax
(425) 948-7214
NPI assigned
Mar 20, 2007
Last updated
Nov 1, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 2018

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 00001586 WA Primary

Addresses

Primary practice location

12702 35TH Ave SE
Everett, WA 98208

Mailing address

12702 35TH Ave SE
Everett, WA 98208
Phone (425) 948-7186

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050908000931 WA Practitioner - Occupational Therapist in Private Practice 3274565486 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1979
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

12702 35TH Ave SE
Everett, WA 98208-5614
Phone (425) 948-7186

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT 00001586WAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Liz Falso Therapy Services Inc. Occupational Therapist CurrentSince Jan 1, 1998 Accepting new patients

Locations

12702 35th Ave SE
Everett, WA 98208
Phone (425) 948-7186

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541030400000",
    "number": "1760507693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12702 35TH AVE SE",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "98208",
            "telephone_number": "425-948-7186",
            "fax_number": "425-948-7214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12702 35TH AVE SE",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "98208",
            "telephone_number": "425-948-7186",
            "fax_number": "425-948-7214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FALSO",
        "first_name": "ELIZABETH",
        "middle_name": "JANE",
        "name_prefix": "Mrs.",
        "credential": "OTR L/CHP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-20",
        "last_updated": "2018-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "OT 00001586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Everett, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.