Individual provider Active NPI

Halie Ellinger McMahon, OTR/L

  • Occupational Therapist
  • Chapel Hill, NC
National Provider Identifier
1215534540
Registry record updated Jun 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
13594 Issued in NC
Practice address
104 Celtic Cir
Chapel Hill, NC 27516-4661
Phone
(336) 380-5763
NPI assigned
Oct 9, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2022

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 13594 NC Primary

Addresses

Primary practice location

104 Celtic Cir
Chapel Hill, NC 27516-4661

Mailing address

201 S Elliott Rd Apt 637
Chapel Hill, NC 27514-5979
Phone (336) 380-5763

Other identifiers 2

IdentifierTypeStateIssuer
443787OtherOCCUPATIONAL THERAPY CERTIFICATION #
13594OtherNCNORTH CAROLINA OCCUPATIONAL THERAPY LICENSE

Other names 1

  • Halie Madison Ellinger Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address halie_ellinger@med.unc.edu Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210203000706 NC Practitioner - Occupational Therapist in Private Practice 2961816954 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13594NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
University of North Carolina at Chapel Hill CurrentSince Dec 3, 2020 Accepting new patients
Park Ophthalmology Past Accepting new patients

Locations

100 Technology Dr
Ste A
Asheville, NC 28803
Phone (828) 251-6319

100 Renee Lynn Ct
Carrboro, NC 27510
Phone (919) 966-5156

101 Manning Dr
Chapel Hill, NC 27514
Phone (984) 974-1485

8401 University Exec Park Dr
Ste 100
Charlotte, NC 28262
Phone (919) 445-2365

925 Revolution Mill Dr
Ste 7
Greensboro, NC 27405
Phone (336) 334-5773

5221 Paramount Pkwy
Ste 420
Morrisville, NC 27560
Phone (984) 215-6533

4301 Lake Boone Trl
Ste 200
Raleigh, NC 27607
Phone (919) 445-5800

1099 Medical Center Dr
Ste 102
Wilmington, NC 28401
Phone (919) 445-0680

108 W Fire Tower Rd
Ste D
Winterville, NC 28590
Phone (252) 830-3300

Organizations & group practices 2

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": "1602201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654560000000",
    "number": "1215534540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 S ELLIOTT RD APT 637",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275145979",
            "telephone_number": "336-380-5763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 CELTIC CIR",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275164661",
            "telephone_number": "336-380-5763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMAHON",
        "first_name": "HALIE",
        "middle_name": "ELLINGER",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-09",
        "last_updated": "2022-06-07",
        "certification_date": "2022-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "13594",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OCCUPATIONAL THERAPY CERTIFICATION #",
            "identifier": "443787",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTH CAROLINA OCCUPATIONAL THERAPY LICENSE",
            "identifier": "13594",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "halie_ellinger@med.unc.edu",
            "affiliation": "N",
            "endpointDescription": "Secure",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "104 Celtic Cir",
            "city": "Chapel Hill",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275164661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "HALIE",
            "last_name": "ELLINGER",
            "middle_name": "MADISON",
            "credential": "OT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chapel Hill, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.