Elissa Tondalaya Wiseman, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT.005802 Issued in OH

Practice address

475 Western Ave
Suite E
Chillicothe, OH 45601-2286

Phone

(740) 702-3120

Fax

(740) 702-3123

NPI assigned

Aug 28, 2014

Last updated

Aug 28, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Elissa Tondalaya French Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Ross Pike County Educational Service District

  • Local Education Agency (LEA)
  • Chillicothe, OH
  • NPI 1881722148
  NPD (past)

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

{
    "created_epoch": "1409184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409184000000",
    "number": "1073913901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24633 HUBER HITLER RD",
            "city": "CIRCLEVILLE",
            "state": "OH",
            "postal_code": "431132515",
            "telephone_number": "740-703-0995",
            "fax_number": "740-420-3881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 WESTERN AVE",
            "address_2": "SUITE E",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456012286",
            "telephone_number": "740-702-3120",
            "fax_number": "740-702-3123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISEMAN",
        "first_name": "ELISSA",
        "middle_name": "TONDALAYA",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-28",
        "last_updated": "2014-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OH",
            "license": "OT.005802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELISSA",
            "last_name": "FRENCH",
            "middle_name": "TONDALAYA",
            "prefix": "MS.",
            "credential": "OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Maggie Wireman, LPN
• Wise Home Supply LLC
• Wise Medical Staffing, Inc.
• Zachary Scott Wise, CRNA
• Jennifer Marie Wisecup, REGISTERED NURSE
• Jason Patrick Wiseman, PTA
• Armanda Nicole Wissinger
• Wissler and Myers Family Dentistry, L.L.C.
• Eric Schilling Wissler, D.D.S.
• Payne S. Wissler, DDS

• Occupational Therapist in Chillicothe, OH
• Providers in Chillicothe, OH by specialty
• Occupational Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2014; 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.