NPI Code Detail JSON Logo

1427841733 NPI number — ELISABETH GEIMER THREADGILL OT

NPI Number: 1427841733
Health Care Provider/Practitioner: ELISABETH GEIMER THREADGILL OT

Information about “1427841733” NPI (ELISABETH GEIMER THREADGILL OT) exists in 1427841733 in HTML format HTML  |  1427841733 in plain Text format TXT  |  1427841733 in PDF (Portable Document Format) PDF  |  1427841733 in an XML format XML  formats.

NPI Number : 1427841733 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1427841733",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "THREADGILL",
    "FirstName": "ELISABETH",
    "MiddleName": "GEIMER",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "OT",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "GEIMER",
    "OtherFirstName": "ELISABETH",
    "OtherMiddleName": "KAMMER",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "OT",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "151 OXMOOR RDG",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "OXFORD",
    "MailingAddressStateName": "MS",
    "MailingAddressPostalCode": "38655-6034",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "601-942-7074",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "169 HIGHWAY 6 EAST SUITE 102",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "OXFORD",
    "PracticeLocationAddressStateName": "MS",
    "PracticeLocationAddressPostalCode": "38655",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "662-380-5030",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "05/28/2025",
    "LastUpdateDate": "05/28/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "225X00000X",
        "TaxonomyName": "Occupational Therapist",
        "LicenseNumber": "OT-4217",
        "LicenseNumberStateCode": "MS",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.