Elizabeth Pederson, OT
NPI 1669622411ActiveIndividual· Occupational Therapist· Appleton, WI
Occupational Therapist (OT) in Appleton, Wisconsin, licensed in WI and MN, with an NPI issued in September 2008. Enrolled in Medicare as practitioner - occupational therapist in private practice and practitioner - occupational therapist in private practice.
Overview
| NPI | 1669622411 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | OT |
| Sole proprietor | No |
| NPI issued | Sep 29, 2008 |
| Last updated in NPPES | Sep 29, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Occupational Therapist Primary | 225X00000X | 3622 | WI |
| Occupational Therapist | 225X00000X | 103139 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Occupational Therapist in Private Practice (MN); Practitioner - Occupational Therapist in Private Practice (WI) |
|---|
Other Occupational Therapist providers in Appleton
- 1992977862
- 1760758023
- 1285526863
- 1922837152
- 1083847065
- 1063684025
- 1558535252
- 1154729630
- 1437283934
- 1760851380
- 1982839353
- 1821262130