Active NPIIndividual providerSole proprietor

Sally Ellis

Developmental Therapist in Southbridge, Massachusetts

NPI Number1134654536
Practice location
486 Worcester St, Kennedy Donovan Center, Southbridge, MA 01550-1386
Fax
508-765-0294
Last updated
April 24, 2017

Sally Ellis is a Developmental Therapist based in Southbridge, MA. Sally Ellis practices in Southbridge, MA. The NPI Number for Sally Ellis is 1134654536. The current practice location address for Sally Ellis is 486 Worcester St, Kennedy Donovan Center, Southbridge, MA 01550-1386 and can be reached out via phone at 508-765-0292 and via fax at 508-765-0294.

Provider Profile Details

NPI Number
1134654536
Provider Name
Sally Ellis
Provider Entity Type
Individual
Gender
Female
Address
486 Worcester St, Kennedy Donovan Center, Southbridge, MA 01550-1386
Phone Number
508-765-0292
Fax Number
508-765-0294
Primary Taxonomy
Developmental Therapist · 222Q00000X
Sole Proprietor
Yes
Provider Enumeration Date
April 24, 2017
Last Update Date
April 24, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
486 Worcester St
Kennedy Donovan Center
Southbridge, MA 01550-1386
Zip
01550-1386
Phone Number
508-765-0292
Fax Number
508-765-0294
Southbridge, MA 01550Get directions →

Provider Business Mailing Address Details

Address
486 Worcester St
Kennedy Donovan Center
Southbridge, MA 01550-1386
City
Southbridge
State
MA
Zip
01550-1386
Phone Number
508-765-0292
Fax Number
508-765-0294

License Information

Taxonomy
Developmental Therapist · 222Q00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Sally Ellis?

The NPI number of Sally Ellis is 1134654536. It was assigned on April 24, 2017 and is currently active in the NPPES registry.

What is the specialty of Sally Ellis?

Sally Ellis is registered under the primary taxonomy Developmental Therapist (code 222Q00000X).

Where does Sally Ellis practice?

The practice location is 486 Worcester St, Kennedy Donovan Center, Southbridge, MA 01550-1386. The office can be reached at 508-765-0292 (phone) or 508-765-0294 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1134654536 directly on the NPPES registry website.

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