{"npi":"1245707439","type":"NPI-1","status":"active","name":{"display":"Elizabeth Sullivan Otrl","other":[],"first":"ELIZABETH","last":"SULLIVAN","middle":"ANN","credential":"OTRL"},"specialty":{"primary_taxonomy":"225100000X","primary_taxonomy_description":"Physical Therapist","slug":"physical-therapist","schema_org_specialty":null,"all":[{"code":"225XH1200X","description":"Hand Occupational Therapist","primary":false,"state":"MI","license":"5201010378"},{"code":"225100000X","description":"Physical Therapist","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"11012 E 13 MILE RD STE 200","city":"WARREN","state":"MI","postal_code":"480932547","country_code":"US","phone":"5865738890"},{"purpose":"MAILING","street_1":"790 REMINGTON BLVD","city":"BOLINGBROOK","state":"IL","postal_code":"604404909","country_code":"US"}],"license":null,"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20210924001826","type_code":"14-67","type_desc":"PRACTITIONER - OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE","state":"MI","pac_id":"5395142921"}]},"enumeration_date":"2018-10-26","last_updated":"2024-10-15","_meta":{"source":"NPPES","snapshot_date":"2024-10-15","doc_url":"https://findmynpi.com/api"}}