Individual provider Active NPI

Elizabeth Ellen Toland, OTD, OTR/L

  • Occupational Therapist
  • Orland Park, IL
National Provider Identifier
1083227011
Registry record updated Aug 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
056013742 Issued in IL
Practice address
11411 183Rd St
Orland Park, IL 60467-9450
Phone
(708) 478-1820
NPI assigned
Aug 28, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 056013742 IL Primary

Addresses

Primary practice location

11411 183Rd St
Orland Park, IL 60467-9450

Mailing address

10415 Oconnell Ave
Mokena, IL 60448-1776
Phone (708) 912-8072

Other identifiers 1

IdentifierTypeStateIssuer
1962680009MedicaidIL

Other names 1

  • Elizabeth Ellen Hassett Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL swcccase Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
056013742ILMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Cook County Cooperative Assn for Special Education PastSince Aug 1, 2020 Accepting new patients
Bautz Developmental Intervention Inc Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1598572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691452800000",
    "number": "1083227011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10415 OCONNELL AVE",
            "city": "MOKENA",
            "state": "IL",
            "postal_code": "604481776",
            "telephone_number": "708-912-8072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11411 183RD ST",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604679450",
            "telephone_number": "708-478-1820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOLAND",
        "first_name": "ELIZABETH",
        "middle_name": "ELLEN",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-28",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056013742",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1962680009",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "swcccase",
            "affiliation": "N",
            "endpointDescription": "swcccase",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "swcccase",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "swcccase",
            "address_1": "6020 151st St",
            "city": "Oak Forest",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604521841",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "HASSETT",
            "middle_name": "ELLEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Orland Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.