Individual provider Active NPI

Aliza An Soler, OTR/L

  • Occupational Therapist
  • Cape Girardeau, MO
National Provider Identifier
1962509968
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
2005034501 Issued in MO
Practice address
1236 W Cape Rock Dr Apt 47
Cape Girardeau, MO 63701-2642
Phone
(773) 474-0126
NPI assigned
Sep 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 2005034501 MO Primary

Addresses

Primary practice location

1236 W Cape Rock Dr Apt 47
Cape Girardeau, MO 63701-2642

Mailing address

1236 W Cape Rock Dr Apt 47
Cape Girardeau, MO 63701-2642
Phone (773) 474-0126

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

LicenseStateTypeSpecialty
2005034501MOMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1962509968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1236 W CAPE ROCK DR APT 47",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637012642",
            "telephone_number": "773-474-0126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1236 W CAPE ROCK DR APT 47",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637012642",
            "telephone_number": "773-474-0126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLER",
        "first_name": "ALIZA",
        "middle_name": "AN",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": "2005034501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Girardeau, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.