KELLY ELLIS


Address: 4109 Highway 98 W, Summit, MS 39666-9132
Phone: 6012763900

KELLY ELLIS (NPI# 1760778559) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 224Z00000X Occupational Therapy Assistant TA2090 MS Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Providers KELLY ELLIS

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

Office Location

Street Address 4109 HIGHWAY 98 W
City SUMMIT
State MS
Zip Code 39666-9132

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 224Z00000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Occupational Therapy Assistant

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Competitor

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City SUMMIT
Zip Code 39666

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Dataset Information

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.

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