MEDICARE: ELIZABETH ANN BAIRD OT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225XH1200X	Hand Occupational Therapist	002081	CT
2	225XP0200X	Pediatric Occupational Therapist	008503-1	NY

General Provider Information

NPI Number	:	1366520520
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH ANN BAIRD OT

Provider Business Mailing Address
First Line	:	49 KENT RD.
Second Line	:
City	:	CORNWALL BRIDGE
State	:	CT
Zip	:	06754
Country	:	US
Telephone Number	:	845-877-3099
Fax Number	:	845-877-3098

Provider Business Practice Location Address
First Line	:	3066 VILLAGE PLAZA
Second Line	:	SUITE 4
City	:	DOVER PLAINS
State	:	NY
Zip	:	12522
Country	:	US
Telephone Number	:	845-877-3099
Fax Number	:	845-877-3098

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/02/2006
Last Update Date	:	09/11/2025

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