NPIMap

Organization Active NPI

Living Therapeutics

  • Pediatric Occupational Therapist
  • Palmer, AK
National Provider Identifier
1871822064
Registry record updated Dec 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
OT3407 Issued in AK
Legal business name
LIVING THERAPEUTICS
Practice address
7335 East Palmer-Wasilla Hwy,
Suite 1-a
Palmer, AK 99645
Phone
(907) 746-7300
NPI assigned
Dec 17, 2009
Last updated
Dec 17, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2009

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

Authorized official

Name
Ms. Alisa Elliott, OT/L
Title
Owner
Phone
(907) 746-7300

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 2105 AK
Pediatric Occupational Therapist 225XP0200X OT3407 AK Primary

Addresses

Primary practice location

7335 East Palmer-Wasilla Hwy,
Suite 1-a
Palmer, AK 99645

Mailing address

PO Box 321
Palmer, AK 99645-0321
Phone (907) 746-7300

Other identifiers 1

IdentifierTypeStateIssuer
OT3407MedicaidAK

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1261008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261008000000",
    "number": "1871822064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 321",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "996450321",
            "telephone_number": "907-746-7300",
            "fax_number": "907-746-7302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7335 EAST PALMER-WASILLA HWY,",
            "address_2": "SUITE 1-A",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "99645",
            "telephone_number": "907-746-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING THERAPEUTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-17",
        "last_updated": "2009-12-17",
        "status": "A",
        "authorized_official_last_name": "ELLIOTT",
        "authorized_official_first_name": "ALISA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-746-7300",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "OT/L"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "AK",
            "license": "2105",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "AK",
            "license": "OT3407",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OT3407",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmer, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2009; 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.