Elizabeth Carmell Hubbard, OTD, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT3892 Issued in MS

Practice address

276 Nissan Pkwy Ste 100
Canton, MS 39046-7006

Phone

(601) 808-3028

Fax

(601) 510-9665

NPI assigned

Oct 20, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Thrivenow Pediatric Therapy

  • Occupational Therapist
  • Batesville, MS
  • NPI 1437902657
  NPD (past)

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

{
    "created_epoch": "1634688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634688000000",
    "number": "1912660465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 LIGHTHOUSE LN",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390477019",
            "telephone_number": "662-292-8060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "276 NISSAN PKWY STE 100",
            "city": "CANTON",
            "state": "MS",
            "postal_code": "390467006",
            "telephone_number": "601-808-3028",
            "fax_number": "601-510-9665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUBBARD",
        "first_name": "ELIZABETH",
        "middle_name": "CARMELL",
        "name_prefix": "Dr.",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-20",
        "last_updated": "2021-10-20",
        "certification_date": "2021-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MS",
            "license": "OT3892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Hood
• Regina Williams Hood, LPC
• Kameron Horton, NP
• Krystal L Howard
• Howcott Emergency Physicians
• Gabriel Martin Ibarra, PA
• Integrated Health Partners, PLLC
• Isd Renal Inc
• Mary Hannah Ivie, MOT, OTR/L
• Stephanie Perry Jackson, CFNP

• Occupational Therapist in Canton, MS
• Providers in Canton, MS by specialty
• Occupational Therapist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2021; 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.