Individual provider Active NPI

Bethany Elkington, OTR/L

  • Occupational Therapist
  • Chicago, IL
National Provider Identifier
1427563204
Registry record updated Mar 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
056012149 Issued in IL
Practice address
5764 South Archer Ave
Chicago, IL 60638
Phone
(773) 270-3169
NPI assigned
Dec 3, 2017
Last updated
Mar 21, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2019

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 056012149 IL Primary

Addresses

Primary practice location

5764 South Archer Ave
Chicago, IL 60638

Mailing address

1510 E 55TH St # 15363
Chicago, IL 60615-6902
Phone (773) 270-3169

Other practice location 1

1367 E 52nd St Unit 1
Chicago, IL 60615-4047
Phone (312) 618-9812

Other practice location 2

4601 S Cottage Grove Ave
Chicago, IL 60653-4798
Phone (773) 270-3169

Other practice location 3

1367 E 52nd St Unit 1
Chicago, IL 60615-4047
Phone (312) 618-9812

Other practice location 4

1448 E 52nd St # 286
Chicago, IL 60615-4122
Phone (773) 270-3169

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
056012149ILMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1512259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553126400000",
    "number": "1427563204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1510 E 55TH ST # 15363",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606156902",
            "telephone_number": "773-270-3169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5764 SOUTH ARCHER AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60638",
            "telephone_number": "773-270-3169"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1367 E 52nd St Unit 1",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606154047",
            "country_code": "US",
            "telephone_number": "312-618-9812",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4601 S Cottage Grove Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606534798",
            "country_code": "US",
            "telephone_number": "773-270-3169",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1367 E 52nd St Unit 1",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606154047",
            "country_code": "US",
            "telephone_number": "312-618-9812",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1448 E 52nd St # 286",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606154122",
            "country_code": "US",
            "telephone_number": "773-270-3169",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELKINGTON",
        "first_name": "BETHANY",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-03",
        "last_updated": "2019-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056012149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 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.