Individual provider Active NPI

Elizabeth Ann Delimat, OTR/L

  • Occupational Therapist
  • Round Lake, IL
National Provider Identifier
1194362996
Registry record updated Nov 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
056011912 Issued in IL
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

Updated by the provider on Nov 30, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
056011912ILMDOccupational Therapist
607526WIMDOccupational 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.

Verify at the official NPI Registry.