Elizabeth Dean

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

OT2813 Issued in ME

Practice address

5980 Radio Station Rd
PO Box 2770
La Plata, MD 20646

Phone

(301) 932-6610

NPI assigned

Nov 28, 2013

Last updated

Jan 30, 2025By the provider in NPPES

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1385596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738195200000",
    "number": "1902237092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5980 RADIO STATION RD",
            "address_2": "PO BOX 2770",
            "city": "LA PLATA",
            "state": "MD",
            "postal_code": "20646",
            "telephone_number": "301-932-6610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5980 RADIO STATION RD",
            "address_2": "PO BOX 2770",
            "city": "LA PLATA",
            "state": "MD",
            "postal_code": "20646",
            "telephone_number": "301-932-6610"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "85 Middle Rd",
            "address_purpose": "LOCATION",
            "city": "Cumberland",
            "state": "ME",
            "postal_code": "040213707",
            "country_code": "US",
            "telephone_number": "207-829-8007",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEAN",
        "first_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-28",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "ME",
            "license": "OT2813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bronwyn Elizabeth Daugherty, CRNA
• Tara K Davis-Rama
• Bolivia Davis, M.D.
• Jerme Davis
• Erik De Angelis, MD
• Treeci Dean
• Natasha Chinakesha Decaires-Chester, NP
• Randolph A. Decarlo, M.D.
• Tia M. Deloatch, LCSW-C
• Delphi Healthcare Partners of Maryland, LLC (LaPlata Surgery Services)

• Pediatric Occupational Therapist in La Plata, MD
• Providers in La Plata, MD by specialty
• Pediatric Occupational Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2025; 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.