Elizabeth Boersma, MS PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

26555 S Jacob Dr
Channahon, IL 60410-5493

Phone

(815) 483-8944

Fax

(815) 521-2896

NPI assigned

Jan 22, 2008

Last updated

Jan 22, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• RP Therapy Services, Inc.

  • Physical Therapy Clinic/Center
  • Channahon, IL
  • NPI 1780763987
  NPD (past) Authorized official

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

{
    "created_epoch": "1200960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200960000000",
    "number": "1407033343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26555 S JACOB DR",
            "city": "CHANNAHON",
            "state": "IL",
            "postal_code": "604105493",
            "telephone_number": "815-483-8944",
            "fax_number": "815-521-2896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26555 S JACOB DR",
            "city": "CHANNAHON",
            "state": "IL",
            "postal_code": "604105493",
            "telephone_number": "815-483-8944",
            "fax_number": "815-521-2896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOERSMA",
        "first_name": "ELIZABETH",
        "credential": "MS PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-22",
        "last_updated": "2008-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bethany Bachmann, RBT
• Diana Becerra, RN
• Kristine Bermingham, MSW, LCSW
• Nikolas M Bertucci
• Gregory Lorne Bluhm, RPH
• Sarah Bojak
• Kelly Bragdon, LPC, NCC
• Kevin Breen, D.D.S.
• Gayle C Briley, RDH
• Timothy Brown, PSY.D.

• Physical Therapist in Channahon, IL
• Providers in Channahon, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2008; 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.