Individual provider Active NPI

Elizabeth Tenbusch

  • Occupational Therapist
  • Milford, DE
National Provider Identifier
1780414797
Registry record updated Aug 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
U1-0012664 Issued in DE
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

Updated by the provider on Aug 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
I20241029001847 DE Practitioner - Occupational Therapist in Private Practice 9234662271 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
U1-0012664DEMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Occupational Therapy of Delaware Multi-Specialty CurrentSince Sep 1, 2024 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.

Verify at the official NPI Registry.