Ellen Marie Warner

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

057001621 Issued in IL

Practice address

601 W Lincoln Ave
Caseyville, IL 62232-1306

Phone

(618) 344-9355

Fax

(618) 344-9356

NPI assigned

Jul 16, 2012

Last updated

Jul 16, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ellen Marie Schaltenbrand Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1342396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342396800000",
    "number": "1023363132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1217 WOODBRIDGE ST",
            "city": "COLLINSVILLE",
            "state": "IL",
            "postal_code": "622343882",
            "telephone_number": "618-580-8976",
            "fax_number": "618-345-5904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 W LINCOLN AVE",
            "city": "CASEYVILLE",
            "state": "IL",
            "postal_code": "622321306",
            "telephone_number": "618-344-9355",
            "fax_number": "618-344-9356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARNER",
        "first_name": "ELLEN",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-16",
        "last_updated": "2012-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "IL",
            "license": "057001621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELLEN",
            "last_name": "SCHALTENBRAND",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Zachary W Runk
• Sarah Ruth Russell, LPTA
• Tomika L Shorter, LPC
• St Clair Supportive Living LP (Knollwood Retirement Community)
• Jean Evelyn Vogel Wagner, M.D.
• Tamra Anita Watts, SLP
• Rebekah T Woods

• Occupational Therapy Assistant in Caseyville, IL
• Providers in Caseyville, IL by specialty
• Occupational Therapy Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.