Brooke J Ellis, OTD, OTR/L
Occupational Therapist, Hand in Enfield, Connecticut
1871253286- Practice location
- 113 Elm St, Enfield, CT 06082-3700
- Phone
- 860-253-5196
- Fax
- —
- Last updated
- November 2, 2024
Brooke Juliette Ellis is an Occupational Therapist, Hand based in Enfield, CT. Brooke Juliette Ellis practices in Enfield, CT and has the professional credentials of OTD, OTR/L. The NPI Number for Brooke Juliette Ellis is 1871253286 and holds a License No. 14292 (MA). The current practice location address for Brooke Juliette Ellis is 113 Elm St, Enfield, CT 06082-3700 and can be reached out via phone at 860-253-5196.
Provider Profile Details
- NPI Number
- 1871253286
- Provider Name
- Brooke Juliette Ellis
- Credential
- OTD, OTR/L
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 113 Elm St, Enfield, CT 06082-3700
- Phone Number
- 860-253-5196
- Primary Taxonomy
- Occupational Therapist, Hand · 225XH1200X
- Sole Proprietor
- No
- Provider Enumeration Date
- December 27, 2021
- Last Update Date
- November 2, 2024
- Certification Date
- November 2, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 113 Elm St
Enfield, CT 06082-3700 - City
- Enfield
- State
- Connecticut
- Zip
- 06082-3700
- Phone Number
- 860-253-5196
Provider Business Mailing Address Details
- Address
- 8 Oakwood St
Enfield, CT 06082-2717 - City
- Enfield
- State
- CT
- Zip
- 06082-2717
- Phone Number
- 860-593-2364
License Information
- License Number (1)
- 14292
- License State (1)
- MA
- Taxonomy (1)
- Occupational Therapist, Hand · 225XH1200X
- License Number (2)
- 5940
- License State (2)
- CT
- Taxonomy (2)
- Occupational Therapist, Hand · 225XH1200X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Brooke J Ellis, OTD, OTR/L?
The NPI number of Brooke J Ellis, OTD, OTR/L is 1871253286. It was assigned on December 27, 2021 and is currently active in the NPPES registry.
What is the specialty of Brooke J Ellis, OTD, OTR/L?
Brooke J Ellis, OTD, OTR/L is registered under the primary taxonomy Occupational Therapist, Hand (code 225XH1200X), licensed in MA under license number 14292.
Where does Brooke J Ellis, OTD, OTR/L practice?
The practice location is 113 Elm St, Enfield, CT 06082-3700. The office can be reached at 860-253-5196 (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 1871253286 directly on the NPPES registry website.