Individual provider Active NPI

Elizabeth Reyes Rackers, OTR/L

  • Occupational Therapist
  • Jefferson City, MO
National Provider Identifier
1982953287
Registry record updated Oct 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
2013006139 Issued in MO
Practice address
2315 Liberty LN
Jefferson City, MO 65109-6018
Phone
(573) 619-0091
NPI assigned
Aug 31, 2012
Last updated
Oct 14, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2015

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 2013006139 MO Primary

Addresses

Primary practice location

2315 Liberty LN
Jefferson City, MO 65109-6018

Mailing address

2315 Liberty LN
Jefferson City, MO 65109-6018
Phone (573) 619-0091

Other names 1

  • Elizabeth Reyes Nelson Former name

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
2013006139MOMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1346371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444780800000",
    "number": "1982953287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2315 LIBERTY LN",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651096018",
            "telephone_number": "573-619-0091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 LIBERTY LN",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651096018",
            "telephone_number": "573-619-0091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RACKERS",
        "first_name": "ELIZABETH",
        "middle_name": "REYES",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-31",
        "last_updated": "2015-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": "2013006139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "NELSON",
            "middle_name": "REYES",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jefferson City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2015; 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.