NPIMap

Individual provider Active NPI

Elise M Kelone, OT

  • Occupational Therapist
  • Marksville, LA
National Provider Identifier
1013279280
Registry record updated Jun 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OTT.200548 Issued in LA
Practice address
554 Tunica Dr W
Marksville, LA 71351-2627
Phone
(318) 240-7680
Fax
(318) 240-7681
NPI assigned
Jun 13, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OTT.200548 LA Primary

Addresses

Primary practice location

554 Tunica Dr W
Marksville, LA 71351-2627

Mailing address

4210 Highway 115
Bunkie, LA 71322-4310
Phone (318) 240-7680

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

State licenses

LicenseStateTypeSpecialty
OTT.200548LAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lemoine Therapy Services of Cenla Inc Occupational Therapist PastSince Jan 1, 2005 Accepting new patients
Southern Flex Rehabilitation & Consulting, LLC Occupational Therapist PastSince Jan 1, 2017 Accepting new patients
Therapy Center of Jefferson Davis Parish, Inc Occupational Therapist PastSince Mar 4, 2002 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1339545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339545600000",
    "number": "1013279280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4210 HIGHWAY 115",
            "city": "BUNKIE",
            "state": "LA",
            "postal_code": "713224310",
            "telephone_number": "318-240-7680",
            "fax_number": "318-240-7681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "554 TUNICA DR W",
            "city": "MARKSVILLE",
            "state": "LA",
            "postal_code": "713512627",
            "telephone_number": "318-240-7680",
            "fax_number": "318-240-7681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELONE",
        "first_name": "ELISE",
        "middle_name": "M",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-13",
        "last_updated": "2012-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "LA",
            "license": "OTT.200548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marksville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.