Organization Active NPI

Ellavating You

  • Mental Health Occupational Therapist
  • Jasper, AL
National Provider Identifier
1053142620
Registry record updated Aug 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Occupational TherapistTaxonomy code 225XM0800X
Legal business name
ELLAVATING YOU
Practice address
3607 Beaver Run
Jasper, AL 35504-6767
Phone
(256) 740-1236
NPI assigned
Aug 13, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2024

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

Authorized official

Name
Pamela H Hogue, MSOTRNPI 1174957245
Title
Occupational Therapist
Phone
(256) 740-1236

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225XM0800X Primary

Addresses

Primary practice location

3607 Beaver Run
Jasper, AL 35504-6767

Mailing address

3607 Beaver Run
Jasper, AL 35504-6767
Phone (256) 740-1236

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1723507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723507200000",
    "number": "1053142620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3607 BEAVER RUN",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355046767",
            "telephone_number": "256-740-1236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3607 BEAVER RUN",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355046767",
            "telephone_number": "256-740-1236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLAVATING YOU",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-13",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A",
        "authorized_official_last_name": "HOGUE",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "256-740-1236",
        "authorized_official_credential": "MSOTR"
    },
    "taxonomies": [
        {
            "code": "225XM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jasper, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2024; 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.