Active NPI
Elizabeth Ann Delimat, OTR/L
- Occupational Therapist
- Round Lake, IL
National Provider Identifier
1194362996
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 056011912
- Practice address
- 884 W Nippersink Rd
Round Lake, IL 60073-3701 - Phone
- (847) 270-9000
- NPI assigned
- Nov 30, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 056011912 | IL | Primary |
| Occupational Therapist | 225X00000X | 607526 | WI |
Addresses
Primary practice location
884 W Nippersink Rd
Round Lake, IL 60073-3701
Mailing address
416 Orchard St
Burlington, WI 53105-1731
Phone (262) 716-3276
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
| License | State | Type | Specialty |
|---|---|---|---|
| 056011912 | IL | MD | Occupational Therapist |
| 607526 | WI | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1575072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575072000000",
"number": "1194362996",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "416 ORCHARD ST",
"city": "BURLINGTON",
"state": "WI",
"postal_code": "531051731",
"telephone_number": "262-716-3276"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "884 W NIPPERSINK RD",
"city": "ROUND LAKE",
"state": "IL",
"postal_code": "600733701",
"telephone_number": "847-270-9000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELIMAT",
"first_name": "ELIZABETH",
"middle_name": "ANN",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-11-30",
"last_updated": "2019-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IL",
"license": "056011912",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WI",
"license": "607526",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Round Lake, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.