Individual provider Active NPI

Erika Mary Toebaas, LAC, DAOM

  • Acupuncturist
  • Lake Bluff, IL
National Provider Identifier
1962919480
Registry record updated Nov 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
198001599 Issued in IL
Practice address
51 Sherwood Ter Ste 51H
Lake Bluff, IL 60044-2232
Phone
(312) 554-5709
NPI assigned
Jan 5, 2018
Last updated
Nov 28, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2023

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 0002490 CO
Acupuncturist 171100000X AC17657 CA
Acupuncturist 171100000X 198001599 IL Primary
Massage Therapist 225700000X 227.022724 IL
Massage Therapist 225700000X 0024108 CO

Addresses

Primary practice location

51 Sherwood Ter Ste 51H
Lake Bluff, IL 60044-2232

Mailing address

840 N Saint Marys Rd
Libertyville, IL 60048-1634
Phone (773) 443-3809

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
AC17657CAMDAcupuncturist
0002490COMDAcupuncturist
198001599ILMDAcupuncturist
0024108COMDMassage Therapist
227.022724ILMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Root Therapeutics PLLC Acupuncturist CurrentSince Sep 24, 2023 Accepting new patients
Active Wellness, LLC Acupuncturist Past Accepting new patients

Locations

51 Sherwood Ter
Ste 51H
Lake Bluff, IL 60044
Phone (312) 554-5709

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, 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": "1515110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701129600000",
    "number": "1962919480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 N SAINT MARYS RD",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600481634",
            "telephone_number": "773-443-3809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 SHERWOOD TER STE 51H",
            "city": "LAKE BLUFF",
            "state": "IL",
            "postal_code": "600442232",
            "telephone_number": "312-554-5709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOEBAAS",
        "first_name": "ERIKA",
        "middle_name": "MARY",
        "credential": "LAC, DAOM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-05",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CO",
            "license": "0002490",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC17657",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "IL",
            "license": "198001599",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "IL",
            "license": "227.022724",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CO",
            "license": "0024108",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Bluff, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2023; 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.