Eliza Mavis Anderson
NPI 1770390684ActiveIndividual· Recreation Therapist· Provo, UT
Recreation Therapist in Provo, Utah, licensed in UT, with an NPI issued in December 2024.
Overview
| NPI | 1770390684 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Dec 13, 2024 |
| Last updated in NPPES | Dec 13, 2024 |
| Certified by provider | Dec 12, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Recreation Therapist Primary | 225800000X | 14195558-4003 | UT |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Recreation Therapist providers in Provo
- 1912414996
- 1174498109
- 1285455014
- 1013578285
- 1164230223
- 1861347171
- 1912791104
- 1811825656
- 1255268025
- 1346123833
- 1295634525