Elizabeth Eli, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT.0003917 Issued in CO

Practice address

1500 S Lemay Ave
Fort Collins, CO 80523

Phone

(970) 495-8780

NPI assigned

Jun 3, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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 and National Provider Directory roles.

• Innovations Pediatric Therapy, LLC

  • Occupational Therapist
  • Greeley, CO
  • NPI 1164913885
  NPD (past) Authorized official

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

{
    "created_epoch": "1401753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528070400000",
    "number": "1457764813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3403 W 7TH ST APT A",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806345143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 S LEMAY AVE",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "80523",
            "telephone_number": "970-495-8780"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "311 Mapleton Ave",
            "address_purpose": "LOCATION",
            "city": "Boulder",
            "state": "CO",
            "postal_code": "803043979",
            "country_code": "US",
            "telephone_number": "303-441-0493",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1500 S LeMay Ave",
            "address_purpose": "LOCATION",
            "city": "Fort Collins",
            "state": "CO",
            "postal_code": "805233979",
            "country_code": "US",
            "telephone_number": "970-495-8780",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELI",
        "first_name": "ELIZABETH",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-03",
        "last_updated": "2018-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CO",
            "license": "OT.0003917",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CO",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CO",
            "license": "OT.0003917",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "95371265",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eleos Services LLC
• Elevate Chiropractic LLC
• Elevate Music Therapy Services, LLC
• Elevation Medical, Inc.
• Terri Renee Elffner, PA-C
• Elizabeth Ellen Terrell Phillips
• Elizabeth Munson, LCSW, LLC
• Sophea Elkins
• Mary Louise Eller Conte, FNP
• Jennifer Elliott

• Occupational Therapist in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Occupational Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2018; 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.