Individual provider Active NPI

Elizabeth Virginia Tobin, OT

  • Occupational Therapist
  • Easton, MD
National Provider Identifier
1982824371
Registry record updated Feb 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
04615 Issued in MD
Practice address
598 Cynwood Dr Ste 101
Easton, MD 21601-3875
Phone
(410) 770-9720
Fax
(410) 770-9725
NPI assigned
Apr 26, 2007
Last updated
Feb 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2025

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 04615 MD Primary

Addresses

Primary practice location

598 Cynwood Dr Ste 101
Easton, MD 21601-3875

Mailing address

659 S Salisbury Blvd Ste 1B
Salisbury, MD 21801-5458
Phone (104) 831-3226

Other practice location 1

2448 Holly Ave Ste 200
Annapolis, MD 21401-8539
Phone (410) 295-4941

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250220000560 MD Practitioner - Occupational Therapist in Private Practice 3971023011 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
04615MDMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Konlian,O'Neill & Associates, P.a. Current Accepting new patients
Konlian,O'Neill & Associates, P.a. CurrentSince Feb 10, 2025 Accepting new patients
Fitness Forum of Maryland, LLC Occupational Therapist CurrentSince Feb 10, 2025 Accepting new patients
Fitness Forum of Maryland, LLC CurrentSince Feb 10, 2025 Accepting new patients

Locations

2448 Holly Ave
Ste 200
Annapolis, MD 21401
Phone (410) 295-4941

598 Cynwood Dr
Ste 101
Easton, MD 21601
Phone (410) 770-9720

106 Milford St
Ste 601
Salisbury, MD 21804
Phone (410) 548-7600

659 S Salisbury Blvd
Ste 1B
Salisbury, MD 21801
Phone (410) 831-3226

Organizations & group practices 4

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": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739836800000",
    "number": "1982824371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "659 S SALISBURY BLVD STE 1B",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218015458",
            "telephone_number": "104-831-3226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "598 CYNWOOD DR STE 101",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216013875",
            "telephone_number": "410-770-9720",
            "fax_number": "410-770-9725"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2448 Holly Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Annapolis",
            "state": "MD",
            "postal_code": "214018539",
            "country_code": "US",
            "telephone_number": "410-295-4941",
            "fax_number": "410-295-5207",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TOBIN",
        "first_name": "ELIZABETH",
        "middle_name": "VIRGINIA",
        "name_prefix": "Mrs.",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-26",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MD",
            "license": "04615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Easton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2025; 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.