Individual provider Active NPI

Patricia N Elsperman, OTR/L

  • Occupational Therapist
  • Evansville, IN
National Provider Identifier
1992889406
Registry record updated May 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
KY-R3517 Issued in KY
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

Updated by the provider on May 1, 2008

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
200620580MedicaidIN

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
31004145AINMDOccupational Therapist
KY-R3517KYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.