Elizabeth Ann Thompson I, OCCUPATIONAL THERAPI

Key facts

NPI

1861844896

Entity type

Individual (NPI type 1)

Primary specialty

Physical Rehabilitation Occupational Therapist 225XP0019X

License

4890-26 (WI)

Practice address

808 S Washington St
Cuba City, WI 53807-1439

Phone

(608) 744-2963

NPI assigned

Jul 1, 2016

Sex

Female

Sole proprietor

Yes

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Specialties & licenses

Addresses

Other names

• Beth A Thompson Other name

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 1, 2016.

{
    "created_epoch": "1467331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467331200000",
    "number": "1861844896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 CORBIN DR",
            "city": "BARNEVELD",
            "state": "WI",
            "postal_code": "535079431",
            "telephone_number": "616-307-5907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 S WASHINGTON ST",
            "city": "CUBA CITY",
            "state": "WI",
            "postal_code": "538071439",
            "telephone_number": "608-744-2963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "ELIZABETH",
        "middle_name": "ANN",
        "name_suffix": "I",
        "credential": "OCCUPATIONAL THERAPI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-01",
        "last_updated": "2016-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "WI",
            "license": "4890-26",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETH",
            "last_name": "THOMPSON",
            "middle_name": "A",
            "credential": "OT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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All providers in Cuba City, WI · Physical Rehabilitation Occupational Therapist in Wisconsin