KELLY ELLIS (NPI# 1760778559) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1760778559 |
Entity Type | Individual |
Full Name | KELLY ELLIS |
Practice Address |
4109 Highway 98 W Summit MS 39666-9132 |
Practice Telephone | 6012763900 |
Enumeration Date | 2011-06-21 |
Last Update Date | 2011-06-21 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 224Z00000X | Occupational Therapy Assistant | TA2090 | MS | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821615279 | Kelly Ellis | Nurse Practitioner | 585 S Union St, Sparta, MI 49345-1505 | 2020-07-01 |
1194346759 | Kelly Nicole Ellis | Registered Nurse | 13819 County Road 1131, Flint, TX 75762-2419 | 2020-05-05 |
1205455789 | Kelly Wynell Ellis | Physical Medicine & Rehabilitation | 5502 San Juan Dr, Toledo, OH 43612-3336 | 2020-04-14 |
1306348834 | Kelly Ellis | Chore Provider | 5033 Saint Annes Dr, Las Vegas, NV 89149-5717 | 2018-02-28 |
1104226109 | Kelly Ellis | Student in an Organized Health Care Education/Training Program | 9621 Fontainebleau Blvd, 515, Miami, FL 33172-6814 | 2014-08-26 |
1992014971 | Kelly Michelle Ellis | Technician, Pathology | 4230 Tree Moss Pl, Humble, TX 77346-4560 | 2010-09-24 |
1417189929 | Kelly Pinney Ellis | Counselor | 404 Broadway St, Suite B, South Haven, MI 49090-1421 | 2009-08-17 |
1922233246 | Kelly Abbott Ellis | Physical Therapist | 4953 Macaw Ct Ne, Marietta, GA 30066-1286 | 2009-05-17 |
1407941057 | Kelly Leigh Ellis | Family Medicine | 301 N 27th St Ste 2, Norfolk, NE 68701-4457 | 2006-10-03 |
1073548186 | Kelly Ann Ellis | Social Worker | 39760 Black Mesa Ln, Palm Desert, CA 92260 | 2006-07-11 |
Street Address |
4109 HIGHWAY 98 W |
City | SUMMIT |
State | MS |
Zip Code | 39666-9132 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316151830 | Tanekia Gatlin | Speech-Language Pathologist | 4109 Highway 98 W, Summit, MS 39666-9132 | 2007-05-10 |
1942851472 | Evelyn Letitia Haygood | Physical Therapist | 4109 Highway 98 W, Summit, MS 39666-9132 | 2019-09-25 |
1114585601 | Johnathan G Freeman | Physical Therapist | 4109 Highway 98 W, Summit, MS 39666-9132 | 2019-05-30 |
1568028132 | Ashton Brett Richardson | Speech-Language Pathologist | 4109 Highway 98 W, Summit, MS 39666-9132 | 2019-05-19 |
1144883778 | Kristen Steele | Occupational Therapist | 4109 Highway 98 W, Summit, MS 39666-9132 | 2019-04-18 |
1841853033 | Brelon T Bryant | Physical Therapy Assistant | 4109 Highway 98 W, Summit, MS 39666-9132 | 2019-04-15 |
1558833525 | Bailey Miller | Speech-Language Pathologist | 4109 Highway 98 W, Summit, MS 39666-9132 | 2019-01-01 |
1356821797 | Lauren Langham | Speech-Language Pathologist | 4109 Highway 98 W, Summit, MS 39666-9132 | 2018-08-15 |
1306339262 | Garrett Wallace | Physical Therapist | 4109 Highway 98 W, Summit, MS 39666-9132 | 2018-06-14 |
1093225724 | Angela Beene Gill | Occupational Therapy Assistant | 4109 Highway 98 W, Summit, MS 39666-9132 | 2017-10-09 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912531005 | Bobbi Burns Burdett | Counselor | 377 Montgomery Rd Sw, Summit, MS 39666 | 2020-02-27 |
1871073908 | Southwest Pharmacy, Inc. | Pharmacy | 1121 Hwy 98 and 51, Summit, MS 39666 | 2018-08-17 |
1710463856 | Lucy Rena' Mikell | Nurse Practitioner | 804 Robb Street, Summit, MS 39666 | 2018-07-12 |
1720586332 | Summit Express Pharmacy LLC | Pharmacy | 105 S Laurel St # 1310, Summit, MS 39666 | 2018-01-29 |
1356891667 | Brad Fortinberry | Physical Therapist | 709 Robb Street, Summit, MS 39666 | 2016-10-11 |
1124432679 | Tara Lynn Felder | Pharmacist | 1121 Hwy 98/51, Summit, MS 39666 | 2014-06-12 |
1295166056 | Thomas Chadwick Cochran | Dietitian, Registered | 1011 Meadville Street, Summit, MS 39666 | 2013-12-04 |
1912281999 | Lauren Wolfarth | Occupational Therapy Assistant | 4109 Highway 98 West, Summit, MS 39666 | 2011-10-07 |
1902196777 | Salena J Steade | Nurse Practitioner | 7900 Hwy 570, Summit, MS 39666 | 2011-04-14 |
1376853531 | Rose Cancer Center | Internal Medicine | 807 Rob Street, Summit, MS 39666 | 2010-10-20 |
Find all providers in zip 39666 |
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 |
---|---|---|---|---|
1912281999 | Lauren Wolfarth | Occupational Therapy Assistant | 4109 Highway 98 West, Summit, MS 39666 | 2011-10-07 |
1093225724 | Angela Beene Gill | Occupational Therapy Assistant | 4109 Highway 98 W, Summit, MS 39666-9132 | 2017-10-09 |
1104344548 | Christi Steed | Occupational Therapy Assistant | 4109 Highway 98 W, Summit, MS 39666-9132 | 2017-09-06 |
1891247755 | Merri Crisler | Occupational Therapy Assistant | 4109 Highway 98 W, Summit, MS 39666-9132 | 2016-10-26 |
1982155610 | Leah Barry | Occupational Therapy Assistant | 4109 Highway 98 W, Summit, MS 39666-9132 | 2016-10-18 |
1508314642 | Alison Wilkinson | Occupational Therapy Assistant | 4109 Highway 98 W, Summit, MS 39666-9132 | 2016-09-19 |
1245787274 | Michael Skaggs | Occupational Therapy Assistant | 4109 Highway 98 W, Summit, MS 39666-9132 | 2016-09-07 |
1306205125 | Kara Usry | Occupational Therapy Assistant | 4109 Highway 98 W, Summit, MS 39666-9132 | 2016-02-22 |
1902279847 | Nekesha Wells | Occupational Therapy Assistant | 4109 Highway 98 W, Summit, MS 39666-9132 | 2015-10-31 |
1699147629 | Alexis Washington | Occupational Therapy Assistant | 4109 Highway 98 W, Summit, MS 39666-9132 | 2015-10-29 |
Find all providers in SUMMIT |
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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.