Active NPI
Elizabeth Carol Rodgers, PHD
- Developmental Therapist
- Homewood, IL
National Provider Identifier
1518443381
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Therapist
- License
- ER38440818P
- Practice address
- 2820 Willow Rd
Homewood, IL 60430 - Phone
- (708) 207-0479
- NPI assigned
- Jul 16, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | ER38440818P | IL | Primary |
Addresses
Primary practice location
2820 Willow Rd
Homewood, IL 60430
Mailing address
2820 Willow Rd
Homewood, IL 60430-2821
Phone (708) 207-0479
Other practice location 1
1820 Ridge Rd Ste 207
Homewood, IL 60430-1758
Phone (708) 218-1863
Other names 1
- Elizabeth Carol Rodgers
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ER38440818P | IL | MD | Developmental Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oho and Associates, LLC | Current | Accepting new patients | |
| Oho and Associates | Current | Accepting new patients | |
| Hawthorne Developmental Agency | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Health Educator
- Homewood, IL
- NPI 1063868586
-
- Health Educator
- Homewood, IL
- NPI 1790620318
-
- Developmentally Disabled Services Day Training Agency
- Matteson, IL
- NPI 1194774703
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611446400000",
"number": "1518443381",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2820 WILLOW RD",
"city": "HOMEWOOD",
"state": "IL",
"postal_code": "604302821",
"telephone_number": "708-207-0479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2820 WILLOW RD",
"city": "HOMEWOOD",
"state": "IL",
"postal_code": "60430",
"telephone_number": "708-207-0479"
}
],
"practiceLocations": [
{
"address_1": "1820 Ridge Rd Ste 207",
"address_purpose": "LOCATION",
"city": "Homewood",
"state": "IL",
"postal_code": "604301758",
"country_code": "US",
"telephone_number": "708-218-1863",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RODGERS",
"first_name": "ELIZABETH",
"middle_name": "CAROL",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-07-16",
"last_updated": "2021-01-24",
"certification_date": "2021-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": "IL",
"license": "ER38440818P",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ELIZABETH",
"last_name": "RODGERS",
"middle_name": "CAROL",
"credential": "PHD",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Homewood, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.