Active NPI
Elizabeth Ann Rockwell
- Occupational Therapist
- Canton, IL
National Provider Identifier
1144496050
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 056002426
- Practice address
- 2081 N Main St
Canton, IL 61520-1032 - Phone
- (309) 647-6135
- NPI assigned
- May 1, 2008
- Last updated
- May 1, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 056002426 | IL | Primary |
Addresses
Primary practice location
2081 N Main St
Canton, IL 61520-1032
Mailing address
2081 N Main St
Canton, IL 61520-1032
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 056002426 | IL | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Synergy Care Southeast, LLC | Occupational Therapist | Current | Accepting new patients |
Locations
117 N Western Ave
Peoria, IL 61604
Phone (309) 674-2400
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Synergy Care Southeast LLC - Texas
- Physical Therapist
- Lake Charles, LA
- NPI 1427466614
IL, Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209600000000",
"number": "1144496050",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2081 N MAIN ST",
"city": "CANTON",
"state": "IL",
"postal_code": "615201032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2081 N MAIN ST",
"city": "CANTON",
"state": "IL",
"postal_code": "615201032",
"telephone_number": "309-647-6135"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROCKWELL",
"first_name": "ELIZABETH",
"middle_name": "ANN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-01",
"last_updated": "2008-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IL",
"license": "056002426",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Canton, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.