Ellis Therapeutic Consultants, Inc.

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

License

OT585 Issued in DC

Legal business name

ELLIS THERAPEUTIC CONSULTANTS, INC.

Practice address

641 S St NW
Washington, DC 20001

Phone

(202) 834-2197

NPI assigned

Sep 17, 2014

Organization subpart

No

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

Authorized official

Name

Ms. Tracey Ellis, OTR/L, MPH

Title

Ceo/Occupational Therapist

Phone

(202) 834-2197

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1410912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410912000000",
    "number": "1194127597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2651 15TH ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200094603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "641 S ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "20001",
            "telephone_number": "202-834-2197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLIS THERAPEUTIC CONSULTANTS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-17",
        "last_updated": "2014-09-17",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "TRACEY",
        "authorized_official_title_or_position": "CEO/OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "202-834-2197",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "OTR/L, MPH"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "DC",
            "license": "OT585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Tillman Elliott, M.D.
• Tameka Monique Elliott, HHA
• Teresa Kay Elliott, PH.D.
• Tollie Burke Elliott Sr., M.D.
• William Gavin Elliott, MD
• Charles Ellis
• Christine Ellis, PCA
• Dawn Carroll Ellis, PH.D., CCC-SLP
• Diamond Ellis
• Edwandra Ellis

• Local Education Agency (LEA) in Washington, DC
• Providers in Washington, DC by specialty
• Local Education Agency (LEA) in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 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.