Active NPI
Patricia N Elsperman, OTR/L
- Occupational Therapist
- Evansville, IN
National Provider Identifier
1992889406
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- KY-R3517
- Practice address
- 500 N 2ND Ave
Evansville, IN 47710-1540 - Phone
- (812) 422-1181
- Fax
- (812) 424-3154
- NPI assigned
- Oct 24, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Technician/Technologist | 156F00000X | IN | ||
| Occupational Therapist | 225X00000X | KY-R3517 | KY | Primary |
| Occupational Therapist | 225X00000X | 31004145A | IN |
Addresses
Primary practice location
500 N 2ND Ave
Evansville, IN 47710-1540
Mailing address
2411 Wheaton Dr
Evansville, IN 47725-6724
Phone (812) 867-9877
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200620580 | Medicaid | IN |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 31004145A | IN | MD | Occupational Therapist |
| KY-R3517 | KY | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Evansville Association for the Blind, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Developmentally Disabled Services Day Training Agency
- Evansville, IN
- NPI 1770608259
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209600000000",
"number": "1992889406",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2411 WHEATON DR",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477256724",
"telephone_number": "812-867-9877",
"fax_number": "812-424-3154"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 N 2ND AVE",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477101540",
"telephone_number": "812-422-1181",
"fax_number": "812-424-3154"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELSPERMAN",
"first_name": "PATRICIA",
"middle_name": "N",
"name_prefix": "Ms.",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-24",
"last_updated": "2008-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "156F00000X",
"taxonomy_group": "",
"desc": "Technician/Technologist",
"state": "IN",
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "KY",
"license": "KY-R3517",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IN",
"license": "31004145A",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200620580",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Evansville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.