Individual provider Active NPI

Elena Pop, COTA/L, LMT

  • Massage Therapist
  • Mount Prospect, IL
National Provider Identifier
1851803068
Registry record updated Oct 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
227.010064 Issued in IL
Practice address
1439 S Fern Dr
Mt Prospect, IL 60056-4526
Phone
(312) 217-5919
NPI assigned
Oct 27, 2017
Last updated
Oct 27, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 227.010064 IL Primary
Occupational Therapy Assistant 224Z00000X 057.004769 IL

Addresses

Primary practice location

1439 S Fern Dr
Mt Prospect, IL 60056-4526

Mailing address

1439 S Fern Dr
Mt Prospect, IL 60056-4526
Phone (312) 217-5919

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
057.004769ILMDOccupational Therapy Assistant
227.010064ILMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1509062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509062400000",
    "number": "1851803068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1439 S FERN DR",
            "city": "MT PROSPECT",
            "state": "IL",
            "postal_code": "600564526",
            "telephone_number": "312-217-5919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1439 S FERN DR",
            "city": "MT PROSPECT",
            "state": "IL",
            "postal_code": "600564526",
            "telephone_number": "312-217-5919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POP",
        "first_name": "ELENA",
        "credential": "COTA/L, LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-27",
        "last_updated": "2017-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "IL",
            "license": "227.010064",
            "primary": true
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "IL",
            "license": "057.004769",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Prospect, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2017; 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.