Elizabeth Ann Wolf, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

5201008141 Issued in MI

Practice address

111 Lakeside Dr NE
Grand Rapids, MI 49503-3811

Phone

(616) 588-1645

NPI assigned

Mar 5, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1330905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548633600000",
    "number": "1902170210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 COBBLESTONE WAY DR SE",
            "city": "BYRON CENTER",
            "state": "MI",
            "postal_code": "493159150",
            "telephone_number": "307-696-5352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 LAKESIDE DR NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495033811",
            "telephone_number": "616-588-1645"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "226 SOUTH HIGHWAY 585",
            "address_purpose": "LOCATION",
            "city": "SUNDANCE",
            "state": "WY",
            "postal_code": "82729",
            "country_code": "US",
            "telephone_number": "307-283-3576",
            "fax_number": "307-283-3515",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOLF",
        "first_name": "ELIZABETH",
        "middle_name": "ANN",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-05",
        "last_updated": "2019-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201008141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anneliese Mary Wojciechowski
• Kylee Jacqueline Wolanin
• Cameron Mitchell Wolbrink
• Andrea Marie Wolf, MD
• Donald Wolf, CRNA
• Erin Catherine Wolf, PA
• Isabelle Rose Wolf, MS, OTR/L
• Lucy Odele Wolf
• Maritza Wolf
• Sarah Wolf, LMSW

• Occupational Therapist in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Occupational Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.