Elizabeth Ann Deutsch, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

056.013411 Issued in IL

Practice address

700 E Walnut St
Bloomington, IL 61701-3244

Phone

(309) 827-8004

NPI assigned

Sep 12, 2016

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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.

• Active Spine Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Omaha, NE
  • NPI 1023568540
  NPD (past)

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

{
    "created_epoch": "1473638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623110400000",
    "number": "1619425394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2604 BLARNEY STONE LN",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617048412",
            "telephone_number": "513-328-9275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 E WALNUT ST",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617013244",
            "telephone_number": "309-827-8004"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10110 Nicholas St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681142185",
            "country_code": "US",
            "telephone_number": "402-932-2888",
            "fax_number": "402-932-2899",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13220 Birch Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "68164",
            "country_code": "US",
            "telephone_number": "402-932-2888",
            "fax_number": "402-932-2899",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEUTSCH",
        "first_name": "ELIZABETH",
        "middle_name": "ANN",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-12",
        "last_updated": "2021-06-08",
        "certification_date": "2021-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": "2016030096",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NE",
            "license": "2302",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056.013411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shivani Chetan Desai, DMD
• Debra Descarpentrie, LPC
• Hatem Desoky, M.D.
• Hannah Deterding
• Angie Detwiler, CNM
• Jodie Dewey, MD
• Dewitt Livingston Logan McLean Regional Office of Education #17
• Shweta Dey
• Rubina Dhillon
• Diagnostic Neuro Technology, LLC

• Occupational Therapist in Bloomington, IL
• Providers in Bloomington, IL by specialty
• Occupational Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 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.

Verify at the official NPI Registry.