Active NPI
Ellis A Donnell
- Occupational Therapist
- Austin, TX
National Provider Identifier
1023241072
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 100441
- Practice address
- 1400 N. Ih 35
Austin, TX 78701-1926 - Phone
- (512) 324-8320
- Fax
- (512) 324-8323
- NPI assigned
- Aug 25, 2009
- Last updated
- Jan 12, 2012
- 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 | 100441 | TX | Primary |
Addresses
Primary practice location
1400 N. Ih 35
Austin, TX 78701-1926
Mailing address
1400 N. Ih 35
Austin, TX 78701-1926
Phone (512) 324-8320
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)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 100441 | TX | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Institute of Reconstructive Plastic Surgery of Central Texas | Past | Accepting new patients | |
| Institute of Reconstructive Plastic Surgery of Central Texas | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Seton Institute of Reconstructive Plastic Surgery
- Plastic Surgery Physician
- Round Rock, TX
- NPI 1437493244
-
dba Seton Institute of Reconstructive Plastic Surgery
- Plastic and Reconstructive Surgery Physician
- Austin, TX
- NPI 1548401417
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326326400000",
"number": "1023241072",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 N. IH 35",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787011926",
"telephone_number": "512-324-8320",
"fax_number": "512-324-8323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 N. IH 35",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787011926",
"telephone_number": "512-324-8320",
"fax_number": "512-324-8323"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DONNELL",
"first_name": "ELLIS",
"middle_name": "A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-08-25",
"last_updated": "2012-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "100441",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 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.