Active NPI
Elissa Leigh Howe, OTR/L
- Occupational Therapist
- Debary, FL
National Provider Identifier
1184186512
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT19583
- Practice address
- 60 N Highway 17 92
Debary, FL 32713-2513 - Phone
- (386) 668-4426
- NPI assigned
- Apr 4, 2019
- Sex
- Female
- Sole proprietor
- No
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 | OT19583 | FL | Primary |
Addresses
Primary practice location
60 N Highway 17 92
Debary, FL 32713-2513
Mailing address
4185 Mayfair LN
Port Orange, FL 32129-7508
Phone (386) 795-1614
Other practice location 1
911 N Spring Garden Ave
Deland, FL 32720-2560
Phone (386) 736-3108
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
| License | State | Type | Specialty |
|---|---|---|---|
| OT19583 | FL | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Rehab Inc | Occupational Therapist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581724800000",
"number": "1184186512",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4185 MAYFAIR LN",
"city": "PORT ORANGE",
"state": "FL",
"postal_code": "321297508",
"telephone_number": "386-795-1614"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60 N HIGHWAY 17 92",
"city": "DEBARY",
"state": "FL",
"postal_code": "327132513",
"telephone_number": "386-668-4426"
}
],
"practiceLocations": [
{
"address_1": "911 N Spring Garden Ave",
"address_purpose": "LOCATION",
"city": "Deland",
"state": "FL",
"postal_code": "327202560",
"country_code": "US",
"telephone_number": "386-736-3108",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOWE",
"first_name": "ELISSA",
"middle_name": "LEIGH",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-04",
"last_updated": "2020-02-15",
"certification_date": "2020-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "OT19583",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Debary, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.