Active NPI
Ellen Terrell, OTR/L
- Occupational Therapist
- Roswell, GA
National Provider Identifier
1174953624
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 0682
- Practice address
- 10050 Crabapple Road
Suite D-115a
Roswell, GA 30075 - Phone
- (770) 642-0670
- Fax
- (770) 642-0706
- NPI assigned
- Nov 20, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 0682 | GA | Primary |
Addresses
Primary practice location
10050 Crabapple Road
Suite D-115a
Roswell, GA 30075
Mailing address
123 Sedalia CT
Alpharetta, GA 30009-3760
Phone (770) 475-8668
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0682 | GA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1384905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1384905600000",
"number": "1174953624",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "123 SEDALIA CT",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300093760",
"telephone_number": "770-475-8668",
"fax_number": "770-475-8668"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10050 CRABAPPLE ROAD",
"address_2": "SUITE D-115A",
"city": "ROSWELL",
"state": "GA",
"postal_code": "30075",
"telephone_number": "770-642-0670",
"fax_number": "770-642-0706"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TERRELL",
"first_name": "ELLEN",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-11-20",
"last_updated": "2013-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "GA",
"license": "0682",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roswell, GA
- Richard W Teets, DMD
- Hamid V. Tehrani, M.D.
- Allyse Teltser, LCSW
- Laura Beth Temin, MA, LPC, LMFT, DCC,
- Kristi Tempro, MD
- Kalpeshkumar Thakkar, D.D.S./ ORTHODONTIST
- Joshua Thames
- The Center for Integrative Health, Inc.
- The Counseling Center at Roswell Ga, LLC
- The Functional Physical Therapist (Catherine Kramer)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.