Individual provider Active NPI

Elizabeth Ann Urso, PT

  • Pediatric Physical Therapist
  • Chicago, IL
National Provider Identifier
1689860405
Registry record updated Sep 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
Practice address
1711 W Belmont Ave
Chicago, IL 60657-3019
Phone
(773) 931-4072
Fax
(773) 472-6728
NPI assigned
Sep 16, 2007
Last updated
Sep 16, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X IL Primary

Addresses

Primary practice location

1711 W Belmont Ave
Chicago, IL 60657-3019

Mailing address

1711 W Belmont Ave
Chicago, IL 60657-3019
Phone (773) 931-4072

Other names 1

  • Elizabeth Urso Otwell Other name

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
070010430ILMDPediatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kids on the Move Inc. Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1189900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189900800000",
    "number": "1689860405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1711 W BELMONT AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606573019",
            "telephone_number": "773-931-4072",
            "fax_number": "773-472-6728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 W BELMONT AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606573019",
            "telephone_number": "773-931-4072",
            "fax_number": "773-472-6728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "URSO",
        "first_name": "ELIZABETH",
        "middle_name": "ANN",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-16",
        "last_updated": "2007-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "OTWELL",
            "middle_name": "URSO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Sep 16, 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.

Verify at the official NPI Registry.