Lynn Ellefsen, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OH3177311 Issued in OH

Practice address

2630 W 13TH St
Ashtabula, OH 44004-2405

Phone

(440) 992-1280

NPI assigned

Dec 4, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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": "1417651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417651200000",
    "number": "1215334305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "613 LAKE ERIE ST",
            "city": "CONNEAUT",
            "state": "OH",
            "postal_code": "440301358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2630 W 13TH ST",
            "city": "ASHTABULA",
            "state": "OH",
            "postal_code": "440042405",
            "telephone_number": "440-992-1280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLEFSEN",
        "first_name": "LYNN",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-04",
        "last_updated": "2014-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "OH",
            "license": "OH3177311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reham E El Gammal, M.D.
• Samar Said El Sayegh, MD
• Justin L Eldridge, LPTA
• Robert Elford
• Elizabeth Kuson Lisw-S, LLC
• Ian Elliott, CDCA
• Kevin Dayton Ellis, LICDC
• Shelly Emmett
• Karen Ensell, R.N.
• Tim Erickson

• Occupational Therapy Assistant in Ashtabula, OH
• Providers in Ashtabula, OH by specialty
• Occupational Therapy Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.