MR. JUSTIN MICHAEL ELLIOTT (NPI# 1922469170) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922469170 |
| Entity Type | Individual |
| Full Name | MR. JUSTIN MICHAEL ELLIOTT |
| Credential | OTRL |
| Practice Address |
1149 W Monroe Rd St. Louis MI 48880 |
| Mailing Address |
4621 Ashland Dr Saginaw MI 48638 |
| Practice Telephone | 9896813852 |
| Mailing Telephone | 9894826869 |
| Enumeration Date | 2016-03-16 |
| Last Update Date | 2016-03-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 5201009383 | MI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164824447 | Justin Dwayne Elliott | Clinical Nurse Specialist | 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 | 2014-09-18 |
| 1043539745 | Justin Elliott | Registered Nurse | 120 Page St, San Francisco, CA 94102-5811 | 2010-05-20 |
| 1437237344 | Justin M. Elliott | Radiology | 7300 N Fresno St, Fresno, CA 93720-2941 | 2006-11-01 |
| Street Address |
1149 W MONROE RD |
| City | ST. LOUIS |
| State | MI |
| Zip Code | 48880 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063036838 | Sheril Amilia Rolston | Technician/Technologist | 223 S Deleware St, Saint Louis, MI 48880 | 2020-06-08 |
| 1376603175 | Nancy Louise Parsons | Counselor | 214 W Saginow St, St Louis, MI 48880 | 2006-12-11 |
| 1396846234 | Greg William Lowe | Dentist | 622 E. Washington Ave., St. Louis, MI 48880 | 2006-09-25 |
| 1598319196 | James H Seals Peter B Tacia & Tad J Bartz Od PC | Optometrist | 235 N Mill St, St Louis, MI 48880 | 2019-07-31 |
| 1730645052 | Judy L Crockett | Counselor | 115 Chestnut St Apt B, Saint Louis, MI 48880-1308 | 2019-02-11 |
| 1871941880 | Gary Dwayne Tegge | Technician, Other | 616 Maple St, Saint Louis, MI 48880-1335 | 2016-05-31 |
| 1265092589 | Mari I Debolt | Emergency Medical Technician, Basic | 123 N Pine St, Saint Louis, MI 48880-1428 | 2019-06-18 |
| 1013579168 | Mari's Cleaning and Senior Care Services | Home Health | 123 N Pine St, Saint Louis, MI 48880-1428 | 2019-06-28 |
| 1386644839 | Evans Drugs of Saint Louis LLC | Durable Medical Equipment & Medical Supplies | 116 N Mill St, Saint Louis, MI 48880-1521 | 2005-07-27 |
| 1497050454 | Aspire Rx LLC | Pharmacy | 116 N Mill St, Saint Louis, MI 48880-1521 | 2011-01-21 |
| Find all providers in zip 48880 | ||||
| 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 |
|---|---|---|---|---|
| 1588120778 | Pooja Mohan Jethani | Occupational Therapist | 4444 Forest Park Avenue, Washington University In St Lo, Suite No - 2210, Cb 8505, St. Louis, MO 63108-2212 | 2019-02-13 |
| 1861957185 | Mary M Ross | Occupational Therapist | Sherbrooke Village, 4005 Ripa Ave, St. Louis, MO 63125 | 2019-02-01 |
| 1265917025 | Blue Stars Therapy, LLC | Occupational Therapist | 1101 Edward Terrace, Apt A, St. Louis, MO 63117 | 2018-09-27 |
| 1144641689 | Janice L. Levine | Occupational Therapist | 850 Country Manor Dr., Delmar Gardens Creve Coeur, St. Louis, MO 63141 | 2013-12-31 |
| 1255641023 | Colleen Moore | Occupational Therapist | 5 Bon Price Terrace, St. Louis, MO 63132 | 2010-10-14 |
| 1154575033 | Debra Lynn Miller | Occupational Therapist | 3645 Cook Ave., St. Louis, MO 63113 | 2008-11-05 |
| 1356462444 | Leslie Helena Adams | Occupational Therapist | Supplemental Health Care 11701 Borman Dr., 280, St. Louis, MO 63146 | 2007-04-03 |
| 1275673485 | Rebecca Ann Siegel | Occupational Therapist | St. Louis Va Medical Center, 1 Jefferson Barracks Drive, St. Louis, MO 63125 | 2007-02-07 |
| 1992244867 | Elizabeth Heiny | Occupational Therapist | One Children's Place, Nwt 10206e, St. Louis, MO 63110-1077 | 2017-02-13 |
| 1366816076 | Alysha Renee Munoz | Occupational Therapist | 330 N Gore, St. Louis, MO 63119 | 2015-11-18 |
| Find all providers in ST. LOUIS | ||||
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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.