Active NPI
Elizabeth Fraser, OTR
- Pediatric Occupational Therapist
- Lake Barrington, IL
National Provider Identifier
1609927292
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- Practice address
- 5073 Shoreline Rd
Lake Barrington, IL 60010-1700 - Phone
- (847) 842-0597
- NPI assigned
- Jan 12, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | IL | Primary |
Addresses
Primary practice location
5073 Shoreline Rd
Lake Barrington, IL 60010-1700
Mailing address
111 Carriage Rd
North Barrington, IL 60010-2205
Phone (847) 304-6650
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
| License | State | Type | Specialty |
|---|---|---|---|
| 056.007002 | IL | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1609927292",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 CARRIAGE RD",
"city": "NORTH BARRINGTON",
"state": "IL",
"postal_code": "600102205",
"telephone_number": "847-304-6650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5073 SHORELINE RD",
"city": "LAKE BARRINGTON",
"state": "IL",
"postal_code": "600101700",
"telephone_number": "847-842-0597"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRASER",
"first_name": "ELIZABETH",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Barrington, IL
- Family Practice Specialist SC
- Jeffrey S. Farbman, M.D.
- Richard J Ferolo, MD
- Elizabeth Chruscinski Flaherty, M.D.
- Laura B Foy, PHARMD
- Anne Magill Frauens, LCSW
- Gastroenterology and Internal Medicine Specialists, S.C.
- Gastroenterology and Internal Medicine Specialists, S.C.
- Mary J Gawronski, DO
- Nicole M Gentile, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.