ELISE ROSE LICHTENBERG PETERSON MSOTR/L
NPI 1194277749
Occupational Therapist in Salt Lake City, UT

Active since October 31, 2016
100 N MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113(801) 662-1000 Get Directions Write a Review

NPPES record last updated: March 24, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 24, 2020, Oct 31, 2016 (2 updates tracked since 2016).

About Elise Rose Lichtenberg Peterson Msotr/l NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELISE ROSE LICHTENBERG PETERSON MSOTR/L (NPI 1194277749) is an individual occupational therapist in Salt Lake City, Utah, licensed in Utah (10143483-4201) and active in the NPI registry since October 2016.

NPPES Registry Identity

NPI1194277749
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameELISE ROSE LICHTENBERG PETERSONCredential: MSOTR/L
Location Address100 N MARIO CAPECCHI DRSalt Lake City, UT 84113-1103
Mailing Address100 N Mario Capecchi DrSalt Lake City, UT 84113-1103
Sole ProprietorNo
Enumeration DateOctober 31, 2016
Last NPPES UpdateMarch 24, 20202 updates tracked since enumeration
NPPES CertifiedMarch 24, 2020
NPI 1194277749 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225X00000X
License Licensed in UT · 10143483-4201
Definition
An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.
100 N MARIO CAPECCHI DR, Salt Lake City, UT 84113

Other Names 1

Former Name (1)Elise Rose Lichtenberg Msotr/l

Other Identifiers 1

Medicaid942854057UT

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Pediatrics
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Nurse Practitioner (Family)
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Radiology (Diagnostic Radiology)
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Pediatrics (Pediatric Cardiology)
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Nurse Practitioner (Pediatrics, Critical Care)
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Occupational Therapist
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Pediatrics (Pediatric Endocrinology)
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elise Peterson's NPI number?

The NPI number for Elise Peterson is 1194277749. It was assigned to this individual provider in the NPPES registry on October 31, 2016. The provider is also known as Elise Rose Lichtenberg Msotr/L.

Where is Elise Peterson located?

Elise Peterson practices at 100 N Mario Capecchi Dr, Salt Lake City, UT 84113. The listed phone number is (801) 662-1000.

What is Elise Peterson's specialty?

The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.

When was this NPI record last updated?

The NPPES record for Elise Peterson was last updated on March 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.