Ellyn Sue Glass, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

U2-0000644 Issued in DE

Practice address

4949 Ogletown Stanton Rd
Newark, DE 19713-2068

Phone

(302) 998-6900

NPI assigned

Mar 20, 2007

Last updated

Jul 8, 2007By 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 2

Addresses

Other names 1

• Ellen Sue Voron 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": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093830986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 GRAND TETON DR",
            "city": "BEAR",
            "state": "DE",
            "postal_code": "197011790",
            "telephone_number": "302-832-2436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4949 OGLETOWN STANTON RD",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132068",
            "telephone_number": "302-998-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLASS",
        "first_name": "ELLYN",
        "middle_name": "SUE",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "DE",
            "license": "U2-0000644",
            "primary": true
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "PA",
            "license": "OP000524L",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELLEN",
            "last_name": "VORON",
            "middle_name": "SUE",
            "credential": "COTA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Glasgow Medical Associates PA
• Glasgow Medical Center LLC
• Glasgow Medical Center LLC
• Glasgow Medical Center, LLC
• Glasgow Medical Center, LLC
• Glassner Family Practice LLC
• Mark A Glassner, MD
• Amanda Gleason, CRNA
• John Glenn IV, DC
• Kimberly A Glenn, LCSW

• Occupational Therapy Assistant in Newark, DE
• Providers in Newark, DE by specialty
• Occupational Therapy Assistant in Delaware

• 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.