Active NPI
Ellen Campbell Choc, MOT, OTR/L
- Occupational Therapist
- Ellisville, MO
National Provider Identifier
1003505785
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 2015032864
- Practice address
- 15826 Clayton Rd
Ellisville, MO 63011 - Phone
- (636) 779-2600
- NPI assigned
- May 8, 2023
- Last updated
- May 8, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 2015032864 | MO | Primary |
Addresses
Primary practice location
15826 Clayton Rd
Ellisville, MO 63011
Mailing address
1335 Strassner Drive
Brentwood, MO 63144
Phone (877) 367-9772
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1683504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683504000000",
"number": "1003505785",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1335 STRASSNER DRIVE",
"city": "BRENTWOOD",
"state": "MO",
"postal_code": "63144",
"telephone_number": "877-367-9772"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15826 CLAYTON RD",
"city": "ELLISVILLE",
"state": "MO",
"postal_code": "63011",
"telephone_number": "636-779-2600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHOC",
"first_name": "ELLEN",
"middle_name": "CAMPBELL",
"credential": "MOT, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-08",
"last_updated": "2023-05-08",
"certification_date": "2023-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MO",
"license": "2015032864",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ellisville, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.