JILLIAN ELLERBECK (NPI# 1285186643) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285186643 |
| Entity Type | Individual |
| Full Name | JILLIAN ELLERBECK |
| Practice Address |
2040 Highway A1a Ste 203 Indian Harbour Beach FL 32937-3566 |
| Mailing Address |
1425 Oak St Apt 31 Melbourne FL 32901-3133 |
| Practice Telephone | 3217738989 |
| Enumeration Date | 2016-11-01 |
| Last Update Date | 2016-11-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 15573 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
2040 HIGHWAY A1A STE 203 |
| City | INDIAN HARBOUR BEACH |
| State | FL |
| Zip Code | 32937-3566 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255434098 | Maria Uriondo | Speech-Language Pathologist | 2040 Highway A1a Ste 203, Indian Harbour Beach, FL 32937-3566 | 2006-09-07 |
| 1598300246 | Alexandra Bates | Physical Therapist | 2040 Highway A1a Ste 203, Indian Harbour Beach, FL 32937-3566 | 2019-11-16 |
| 1629613013 | Jody Lee Robertson | Occupational Therapy Assistant | 2040 Highway A1a Ste 203, Indian Harbour Beach, FL 32937-3566 | 2019-11-09 |
| 1598329427 | Aubry Young | Physical Therapy Assistant | 2040 Highway A1a Ste 203, Indian Harbour Beach, FL 32937-3566 | 2019-04-25 |
| 1013483056 | Jayna Lacko | Physical Therapy Assistant | 2040 Highway A1a Ste 203, Indian Harbour Beach, FL 32937-3566 | 2018-10-17 |
| 1487145488 | Laura Lynn Irsfeld | Occupational Therapy Assistant | 2040 Highway A1a Ste 203, Indian Harbour Beach, FL 32937-3566 | 2018-05-24 |
| 1376041723 | Elizabeth Taylor | Occupational Therapy Assistant | 2040 Highway A1a Ste 203, Indian Harbour Beach, FL 32937-3566 | 2018-01-30 |
| 1346754884 | Jashyra Chavez | Occupational Therapy Assistant | 2040 Highway A1a Ste 203, Indian Harbour Beach, FL 32937-3566 | 2017-11-20 |
| 1235673047 | Erica Lopez | Occupational Therapy Assistant | 2040 Highway A1a Ste 203, Indian Harbour Beach, FL 32937-3566 | 2016-12-13 |
| 1780071985 | Patricia Erika Cornelius | Occupational Therapy Assistant | 2040 Highway A1a Ste 203, Indian Harbour Beach, FL 32937-3566 | 2015-04-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902407760 | Thalia Mercedes Romero | Occupational Therapy Assistant | 2040 Sr-a1a, Unit 203, Indian Harbour Beach, FL 32937 | 2020-11-06 |
| 1316556616 | Hi 5 Aba Florida Franchise 4 Inc | Behavioral Analyst | 1125 Sr A1a, Suite 306, Satellite Beach, FL 32937 | 2020-07-23 |
| 1154897130 | Sujata S. Balulad, Md., Pa | Internal Medicine | 1095 Highway A1a Apt 2201, Satellite Beach, FL 32937 | 2018-10-17 |
| 1861970782 | Lauren Ann Liston | Pharmacist | 1024 Florida A1a, #120, Satellite Beach, FL 32937 | 2018-08-02 |
| 1184007965 | David Schweibish | Podiatrist | 2020 Highway A1a Ste 101, Indian Harbour Beach, FL 32937 | 2015-06-30 |
| 1831588185 | Cynthia Heyne | Nurse Practitioner | 436 Aruba Ct, Satellite Beach, FL 32937 | 2015-01-09 |
| 1326451675 | Atlantis Urgent Care Inc | Non-Pharmacy Dispensing Site | 2254 Highway Aia, Indian Harbour Beach, FL 32937 | 2014-06-04 |
| 1730511668 | Jessica Lynn Bevins | Occupational Therapy Assistant | 2040 Florida Hwy A1a, Suite 203, Indian Harbour Beach, FL 32937 | 2013-08-02 |
| 1790120582 | Melissa Jean Hamilton | Speech-Language Pathologist | 484 Red Sail Way, Satellite Beach, FL 32937 | 2013-05-07 |
| 1255602637 | Sandra Birza | Pharmacist | 1098 Hwy A I A, Satellite Beach, FL 32937 | 2012-01-18 |
| Find all providers in zip 32937 | ||||
| Taxonomy Code | 224Z00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapy Assistant |
| An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examination for occupational therapy assistants, and fulfills state requirements for licensure, certification, or registration. An occupational therapy assistant provides interventions under the supervision of an occupational therapist which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapy assistants address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, source changed] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902407760 | Thalia Mercedes Romero | Occupational Therapy Assistant | 2040 Sr-a1a, Unit 203, Indian Harbour Beach, FL 32937 | 2020-11-06 |
| 1710442181 | Marcia C Rodrigues | Occupational Therapy Assistant | 520 Summerset Ct, Indian Harbour Beach, FL 32937-4017 | 2019-02-09 |
| 1316470834 | Nicole Michelle Bowsher | Occupational Therapy Assistant | 2040 A1a Hwy, Suite 203, Indian Harbour Beach, FL 32937-3566 | 2017-04-11 |
| 1730511668 | Jessica Lynn Bevins | Occupational Therapy Assistant | 2040 Florida Hwy A1a, Suite 203, Indian Harbour Beach, FL 32937 | 2013-08-02 |
| 1629613013 | Jody Lee Robertson | Occupational Therapy Assistant | 2040 Highway A1a Ste 203, Indian Harbour Beach, FL 32937-3566 | 2019-11-09 |
| 1487145488 | Laura Lynn Irsfeld | Occupational Therapy Assistant | 2040 Highway A1a Ste 203, Indian Harbour Beach, FL 32937-3566 | 2018-05-24 |
| 1376041723 | Elizabeth Taylor | Occupational Therapy Assistant | 2040 Highway A1a Ste 203, Indian Harbour Beach, FL 32937-3566 | 2018-01-30 |
| 1790218204 | Jennifer Bannon | Occupational Therapy Assistant | 2040 Highway A1a, Suite 203, Indian Harbour Beach, FL 32937-3566 | 2017-04-11 |
| 1235673047 | Erica Lopez | Occupational Therapy Assistant | 2040 Highway A1a Ste 203, Indian Harbour Beach, FL 32937-3566 | 2016-12-13 |
| 1780071985 | Patricia Erika Cornelius | Occupational Therapy Assistant | 2040 Highway A1a Ste 203, Indian Harbour Beach, FL 32937-3566 | 2015-04-25 |
| Find all providers in INDIAN HARBOUR BEACH | ||||
| City | INDIAN HARBOUR BEACH |
| Zip Code | 32937 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.