Active NPI
Elizabeth B Ralston, OTR/L, SWC
- Pediatric Occupational Therapist
- Santa Cruz, CA
National Provider Identifier
1871295360
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- OT460
- Practice address
- 226 Grant St
Santa Cruz, CA 95060-2919 - Phone
- (831) 535-2717
- Fax
- (831) 480-2310
- NPI assigned
- Mar 20, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | OT460 | CA | Primary |
Addresses
Primary practice location
226 Grant St
Santa Cruz, CA 95060-2919
Mailing address
226 Grant St
Santa Cruz, CA 95060-2919
Phone (831) 535-2717
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
| License | State | Type | Specialty |
|---|---|---|---|
| OT460 | CA | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679270400000",
"number": "1871295360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "226 GRANT ST",
"city": "SANTA CRUZ",
"state": "CA",
"postal_code": "950602919",
"telephone_number": "831-535-2717",
"fax_number": "831-480-2310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "226 GRANT ST",
"city": "SANTA CRUZ",
"state": "CA",
"postal_code": "950602919",
"telephone_number": "831-535-2717",
"fax_number": "831-480-2310"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RALSTON",
"first_name": "ELIZABETH",
"middle_name": "B",
"credential": "OTR/L, SWC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-03-20",
"last_updated": "2023-03-20",
"certification_date": "2023-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "CA",
"license": "OT460",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Cruz, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.