Individual provider Active NPI

Elyse Hoelzer, MS, OTR/L, CLT

  • Occupational Therapist
  • Chicago, IL
National Provider Identifier
1871062588
Registry record updated Nov 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
056009953 Issued in IL
Practice address
1725 W Harrison St Ste 440
Chicago, IL 60612-3836
Phone
(312) 563-2454
NPI assigned
Nov 26, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 056009953 IL Primary

Addresses

Primary practice location

1725 W Harrison St Ste 440
Chicago, IL 60612-3836

Mailing address

1725 W Harrison St Ste 440
Chicago, IL 60612-3836
Phone (312) 563-2454

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200403001607 IL Practitioner - Occupational Therapist in Private Practice 5193154664 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rush University Medical Center CurrentSince Mar 23, 2020 Accepting new patients
Rush University Medical Group CurrentSince Mar 23, 2020 Accepting new patients

Locations

1725 W Harrison St
Ste 440
Chicago, IL 60612
Phone (312) 563-2454

1700 W Van Buren St
#500
Chicago, IL 60612
Phone (312) 563-2875

75 Remittance Dr
Dept 1611
Chicago, IL 60675

Organizations & group practices 2

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": "1543190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543190400000",
    "number": "1871062588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1725 W HARRISON ST STE 440",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123836",
            "telephone_number": "312-563-2454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 W HARRISON ST STE 440",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123836",
            "telephone_number": "312-563-2454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOELZER",
        "first_name": "ELYSE",
        "credential": "MS, OTR/L, CLT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-26",
        "last_updated": "2018-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056009953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Nov 26, 2018; 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.