Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Elizabeth Grace Scanlon Buck, OTR/L

Individual provider Occupational Therapist · NPI 1669792982

Elizabeth Grace Scanlon Buck, OTR/L is an Occupational Therapist in Private Practice in San Diego, California. Qualified in 2010, 16 years ago. Practices with Functionsmart, an 8-clinician group and accepts Medicare assignment. Licensed in California and Oregon.

Years since qualifying
16
Licensed in
CA, OR
In the registry since
2010
Specialties on file
3
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

5190 Governor Dr Ste 107
San Diego, CA 92122-2848
Phone: (858) 452-0282
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 12824 (CA)
Occupational Therapist Taxonomy 225X00000X · Licence 275409 (OR)
Occupational Therapist Taxonomy 225X00000X (OR)

Record details

NPI number1669792982
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR/L
Sole proprietorNo
NPI enumeratedJune 9, 2010
Last updated in NPPESJuly 14, 2026
Certification dateJuly 14, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Functionsmart — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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