Active NPI
Elizabeth Tenbusch
- Occupational Therapist
- Milford, DE
National Provider Identifier
1780414797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- U1-0012664
- Practice address
- 550 S Dupont Blvd Ste E
Milford, DE 19963-1704 - Phone
- (302) 491-4813
- Fax
- (302) 491-4814
- NPI assigned
- Aug 5, 2024
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | U1-0012664 | DE | Primary |
Addresses
Primary practice location
550 S Dupont Blvd Ste E
Milford, DE 19963-1704
Mailing address
550 S Dupont Blvd Ste E
Milford, DE 19963-1704
Phone (302) 491-4813
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| U1-0012664 | DE | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Occupational Therapy of Delaware | Multi-Specialty | Current | Accepting new patients |
Locations
550 S DuPont Blvd
Ste E
Milford, DE 19963
Phone (302) 424-6195
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1722816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722816000000",
"number": "1780414797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "550 S DUPONT BLVD STE E",
"city": "MILFORD",
"state": "DE",
"postal_code": "199631704",
"telephone_number": "302-491-4813",
"fax_number": "302-491-4814"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 S DUPONT BLVD STE E",
"city": "MILFORD",
"state": "DE",
"postal_code": "199631704",
"telephone_number": "302-491-4813",
"fax_number": "302-491-4814"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TENBUSCH",
"first_name": "ELIZABETH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-08-05",
"last_updated": "2024-08-05",
"certification_date": "2024-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": "DE",
"license": "U1-0012664",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Milford, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.