- Practice location
- 1513 Salem RD, Salem Twp, ME 04983-4201
- Phone
- 207-678-2701
- 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 - City
- Salem Twp
- State
- Maine
- Zip
- 04983-4201
- Phone Number
- 207-678-2701
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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Occupational Therapy Assistants near Salem Twp, ME
View all Occupational Therapy Assistants in Salem Twp →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.