Active NPI
Halie Ellinger McMahon, OTR/L
- Occupational Therapist
- Chapel Hill, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 13594
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 443787 | Other | OCCUPATIONAL THERAPY CERTIFICATION # | |
| 13594 | Other | NC | NORTH CAROLINA OCCUPATIONAL THERAPY LICENSE |
Other names 1
- Halie Madison Ellinger
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13594 | NC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of North Carolina at Chapel Hill | Current | 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.
-
- Anesthesiology Physician
- Chapel Hill, NC
- NPI 1780669200
-
- Ophthalmology Physician
- Durham, NC
- NPI 1619150141
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.