Elizabeth Rose Watanabe, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

13566 Issued in CA

Practice address

3401 Lemon St
Riverside, CA 92501-2861

Phone

(951) 686-8202

NPI assigned

Jan 25, 2019

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": "1548374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548374400000",
    "number": "1821552639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3437 SUNNYSIDE DR",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925062124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 LEMON ST",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925012861",
            "telephone_number": "951-686-8202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATANABE",
        "first_name": "ELIZABETH",
        "middle_name": "ROSE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-25",
        "last_updated": "2019-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "13566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tommy Washington
• David Untalan Wasim, MD
• Verina Wassef
• Eric Wasson
• Watanabe and to Dental Corporation
• Diane Marie Waters, LCSW
• Howard Paul Waters Jr., M.D.
• Aniya Watkins
• Brittany Lashae' Watkins
• Hubert Charles Watkins, MD

• Occupational Therapist in Riverside, CA
• Providers in Riverside, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2019; 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.