Provider Demographics
NPI:1992889406
Name:ELSPERMAN, PATRICIA N (OTR/L)
Entity type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:N
Last Name:ELSPERMAN
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2411 WHEATON DR
Mailing Address - Street 2:
Mailing Address - City:EVANSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47725-6724
Mailing Address - Country:US
Mailing Address - Phone:812-867-9877
Mailing Address - Fax:812-424-3154
Practice Address - Street 1:500 N 2ND AVE
Practice Address - Street 2:
Practice Address - City:EVANSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47710-1540
Practice Address - Country:US
Practice Address - Phone:812-422-1181
Practice Address - Fax:812-424-3154
Is Sole Proprietor?:No
Enumeration Date:2006-10-24
Last Update Date:2008-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN156F00000X
KYKY-R3517225X00000X
IN31004145A225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No156F00000XEye and Vision Services ProvidersTechnician/Technologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200620580Medicaid