CORTNEY ELLIS (NPI# 1386170645) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386170645 |
| Entity Type | Individual |
| Full Name | CORTNEY ELLIS |
| Practice Address |
1923 E Joyce Blvd Fayetteville AR 72703-5293 |
| Mailing Address |
3457 W Bayham Pl Fayetteville AR 72704-6083 |
| Practice Telephone | 4796958066 |
| Mailing Telephone | 4799263039 |
| Enumeration Date | 2017-05-05 |
| Last Update Date | 2017-05-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | OTR2662 | AR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396380283 | Cortney Shantres Ellis | Nurse Practitioner | 110 Evans Dr, Belton, SC 29627-9464 | 2019-11-14 |
| Street Address |
1923 E JOYCE BLVD |
| City | FAYETTEVILLE |
| State | AR |
| Zip Code | 72703-5293 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003814153 | Fran Pearson | Internal Medicine | 1923 E Joyce Blvd, Suite #334, Fayetteville, AR 72703-5293 | 2005-07-12 |
| 1356806400 | Beverly Joye Lane | Physical Therapist | 1923 E Joyce Blvd, Fayetteville, AR 72703-5293 | 2019-02-04 |
| 1982103248 | Sarah Michelle Gibbs | Physical Therapy Assistant | 1923 E Joyce Blvd, Fayetteville, AR 72703-5293 | 2018-02-01 |
| 1144760802 | Kristen Hime | Physical Therapy Assistant | 1923 E Joyce Blvd, Fayetteville, AR 72703-5293 | 2017-02-28 |
| 1538553839 | Joseph Femino | Speech-Language Pathologist | 1923 E Joyce Blvd, Fayetteville, AR 72703-5293 | 2015-03-24 |
| 1952700445 | Drake Maxwell | Physical Therapy Assistant | 1923 E Joyce Blvd, Fayetteville, AR 72703-5293 | 2014-08-20 |
| 1033559372 | Amber Lee Moser | Physical Therapy Assistant | 1923 E Joyce Blvd, Fayetteville, AR 72703-5293 | 2013-07-01 |
| 1043659287 | Megan Landry Wilson | Physical Therapist | 1923 E Joyce Blvd, Fayetteville, AR 72703-5293 | 2013-06-20 |
| 1053464826 | Butterfield Trail Village, Inc. | Skilled Nursing Facility | 1923 E Joyce Blvd, Fayetteville, AR 72703-5205 | 2007-01-18 |
| 1407815467 | Fredrick Allan Martin | Family Medicine | 1923 E Joyce Blvd, Fayetteville, AR 72703-5293 | 2006-03-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154391 | Margaret Sorrells | Pharmacist | 3909 N Mall Ave Attn:pharmacy, Fayetteville, AR 72703 | 2020-11-06 |
| 1497369631 | Justin A Rand | Massage Therapist | 88 W Colt Square Dr, Fayetteville, Ar 72703, Fayetteville, AR 72703 | 2020-09-04 |
| 1235777558 | Washington Regional Medical System | Specialist | 3264 N North Hills Blvd, Fayetteville, AR 72703 | 2019-12-17 |
| 1760024582 | Haley Brooke Thompson | Occupational Therapist | 2474 E Joyce Blvd Ste 2, Null, Fayetteville, AR 72703 | 2019-10-14 |
| 1306492129 | Bhg L, LLC | Clinic/Center | 8 Colt Square Drive, Fayetteville, AR 72703 | 2019-08-16 |
| 1306406269 | Idell Marie Mitchell | Optometrist | Eye Clinic, 1100 N College Ave, Fayetteville, AR 72703 | 2019-06-13 |
| 1821574815 | Toni Myer | Nurse Practitioner | 3 E Appleby Rd Ste 101, Fayetteville, AR 72703 | 2018-07-13 |
| 1306340393 | Josh Kelfer | Student in an Organized Health Care Education/Training Program | 1125 North College Avenue, Fayetteville, AR 72703 | 2018-03-22 |
| 1649726449 | Vantage Point of Nwa | Community/Behavioral Health | 4171 N. Crossover Rd, Fayetteville, AR 72703 | 2016-08-31 |
| 1386097137 | Jason Nordstrom | Speech-Language Pathologist | 2664 N Valencia Ave, Fayetteville, AR 72703 | 2016-07-18 |
| Find all providers in zip 72703 | ||||
| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and 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 therapists 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, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164029690 | Nicole Kathleen Simmler | Occupational Therapist | 7120 Tres Ct, Fayetteville, NC 28314-5272 | 2020-10-07 |
| 1639799877 | Kimberly Craw Myers | Occupational Therapist | 550 Warren Street, Apt. 5d, Fayetteville, NY 13066-2154 | 2020-04-17 |
| 1528687472 | Edutherapy Connection LLC | Occupational Therapist | 3518 Grenedine Dr, Fayetteville, NC 28306 | 2020-04-10 |
| 1699302687 | Kelsey Taylor Lisicia | Occupational Therapist | 500 Lanier Ave W Ste 603, Fayetteville, GA 30214-7644 | 2020-03-27 |
| 1598397283 | Mallory Boozer | Occupational Therapist | 2713 Breezewood Ave # 5535, Fayetteville, NC 28303-5534 | 2020-02-10 |
| 1760024582 | Haley Brooke Thompson | Occupational Therapist | 2474 E Joyce Blvd Ste 2, Null, Fayetteville, AR 72703 | 2019-10-14 |
| 1639726425 | Samantha Lynn Dipaolo | Occupational Therapist | 1555 Cain Rd Ste 200, Fayetteville, NC 28303-3076 | 2019-08-26 |
| 1114421922 | Serc Rehabilitation Partners LLC | Occupational Therapist | 1261 N Steamboat Dr Ste 2, Fayetteville, AR 72704-6262 | 2018-03-19 |
| 1730607540 | Tamara Terry | Occupational Therapist | 290 Ga-314 B, Fayetteville, GA 30214 | 2017-08-31 |
| 1760908867 | Natalie Snow | Occupational Therapist | 6226 W Persimmon St, Fayetteville, AR 72704-7054 | 2017-08-21 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 72703 |
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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.