Individual provider Active NPI

Elaine Margaret Felix, OTA

  • Occupational Therapy Assistant
  • Honesdale, PA
National Provider Identifier
1043336100
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
OP-006043 Issued in PA
Practice address
23 Ellen Memorial LN
Honesdale, PA 18431-4096
Phone
(570) 253-5691
NPI assigned
Mar 21, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X OP-006043 PA Primary
Occupational Therapy Assistant 224Z00000X 006086-1 NY

Addresses

Primary practice location

23 Ellen Memorial LN
Honesdale, PA 18431-4096

Mailing address

2442 Winding Way
Tobyhanna, PA 18466-3733

Other names 1

  • Miss Elaine Margaret Zeleznok Former name

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

State licenses

LicenseStateTypeSpecialty
006086-1NYMDOccupational Therapy Assistant
OP-006043PAMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043336100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2442 WINDING WAY",
            "city": "TOBYHANNA",
            "state": "PA",
            "postal_code": "184663733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 ELLEN MEMORIAL LN",
            "city": "HONESDALE",
            "state": "PA",
            "postal_code": "184314096",
            "telephone_number": "570-253-5691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELIX",
        "first_name": "ELAINE",
        "middle_name": "MARGARET",
        "name_prefix": "Mrs.",
        "credential": "OTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "PA",
            "license": "OP-006043",
            "primary": true
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NY",
            "license": "006086-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELAINE",
            "last_name": "ZELEZNOK",
            "middle_name": "MARGARET",
            "prefix": "MISS",
            "credential": "OTA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Honesdale, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.