MEDICARE: ELIZABETH SUE RICKARD BISHOP OTR/L

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	225X00000X	Occupational Therapist	11643	NC

General Provider Information

NPI Number	:	1982536884
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH SUE RICKARD BISHOP OTR/L

Provider Business Mailing Address
First Line	:	1245 TEAKWOOD DR
Second Line	:
City	:	GREENVILLE
State	:	NC
Zip	:	27834-0951
Country	:	US
Telephone Number	:	270-300-6977
Fax Number	:

Provider Business Practice Location Address
First Line	:	308 GREENVILLE BLVD SE STE C
Second Line	:
City	:	GREENVILLE
State	:	NC
Zip	:	27858-5758
Country	:	US
Telephone Number	:	704-654-8599
Fax Number	:

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

Provider Enumeration Date	:	06/02/2026
Last Update Date	:	06/02/2026

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