Active NPIIndividual provider

Jessica Ellis, COTA/L

Occupational Therapy Assistant in Salem Twp, Maine

NPI Number1710607973
Practice location
1513 Salem RD, Salem Twp, ME 04983-4201
Fax
—
Last updated
August 29, 2022

Jessica Ellis is an Occupational Therapy Assistant based in Salem Twp, ME. Jessica Ellis practices in Salem Twp, ME and has the professional credentials of COTA/L. The NPI Number for Jessica Ellis is 1710607973 and holds a License No. OA4330 (ME). The current practice location address for Jessica Ellis is 1513 Salem RD, Salem Twp, ME 04983-4201 and can be reached out via phone at 207-678-2701.

Provider Profile Details

NPI Number
1710607973
Provider Name
Jessica Ellis
Credential
COTA/L
Provider Entity Type
Individual
Gender
Female
Address
1513 Salem RD, Salem Twp, ME 04983-4201
Phone Number
207-678-2701
Primary Taxonomy
Occupational Therapy Assistant · 224Z00000X
Sole Proprietor
No
Provider Enumeration Date
August 29, 2022
Last Update Date
August 29, 2022
Certification Date
August 29, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
1513 Salem RD
Salem Twp, ME 04983-4201
State
Maine
Zip
04983-4201
Phone Number
207-678-2701
Salem Twp, ME 04983Get directions →

Provider Business Mailing Address Details

Address
144 Vacation Estates Ln
Farmington, ME 04938-5259
City
Farmington
State
ME
Zip
04938-5259

License Information

License Number
OA4330
License State
ME
Taxonomy
Occupational Therapy Assistant · 224Z00000X · 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 Jessica Ellis, COTA/L?

The NPI number of Jessica Ellis, COTA/L is 1710607973. It was assigned on August 29, 2022 and is currently active in the NPPES registry.

What is the specialty of Jessica Ellis, COTA/L?

Jessica Ellis, COTA/L is registered under the primary taxonomy Occupational Therapy Assistant (code 224Z00000X), licensed in ME under license number OA4330.

Where does Jessica Ellis, COTA/L practice?

The practice location is 1513 Salem RD, Salem Twp, ME 04983-4201. The office can be reached at 207-678-2701 (phone).

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 1710607973 directly on the NPPES registry website.

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