Individual provider Active NPI

Elissa Leigh Howe, OTR/L

  • Occupational Therapist
  • Debary, FL
National Provider Identifier
1184186512
Registry record updated Feb 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT19583 Issued in FL
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

Updated by the provider on Feb 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
OT19583FLMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew 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.

Verify at the official NPI Registry.