Active NPI
Elizabeth Anne Noonan, OTR/L
- Occupational Therapist
- Verbank, NY
National Provider Identifier
1982931580
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 014532-1
- Practice address
- 448 Camby Rd
Verbank, NY 12585-5304 - Phone
- (845) 677-9549
- NPI assigned
- Nov 3, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 014532-1 | NY | Primary |
Addresses
Primary practice location
448 Camby Rd
Verbank, NY 12585-5304
Mailing address
448 Camby Rd
Verbank, NY 12585-5304
Phone (845) 677-9549
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1257206400000",
"number": "1982931580",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "448 CAMBY RD",
"city": "VERBANK",
"state": "NY",
"postal_code": "125855304",
"telephone_number": "845-677-9549"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "448 CAMBY RD",
"city": "VERBANK",
"state": "NY",
"postal_code": "125855304",
"telephone_number": "845-677-9549"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOONAN",
"first_name": "ELIZABETH",
"middle_name": "ANNE",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-11-03",
"last_updated": "2009-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "014532-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Verbank, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.