Ellen V Warren, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

007163-1 Issued in NY

Practice address

25 Elm St
Warwick, NY 10990-1455

Phone

(845) 986-5555

Fax

(845) 986-5999

NPI assigned

Mar 30, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Cooper Medical College, 1995

Medicare assignment

May accept Medicare assignment

Group practices

Aggie Pindral Physical Therapy PCGroup PAC ID 9234450610, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Aggie Pindral Physical Therapy, P.C.

  • Physical Therapy Clinic/Center
  • Warwick, NY
  • NPI 1427440411
  Medicare reassignment Care Compare group NPD
• Warwick Valley Orthopedic Surgery, P.C.

  • Specialist
  • Goshen, NY
  • NPI 1902098312
  NPD (past)

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

{
    "created_epoch": "1427673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1255726014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 ELM STREET",
            "city": "WARWICK",
            "state": "NY",
            "postal_code": "109901455",
            "telephone_number": "845-986-5555",
            "fax_number": "845-986-5999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 ELM ST",
            "city": "WARWICK",
            "state": "NY",
            "postal_code": "109901455",
            "telephone_number": "845-986-5555",
            "fax_number": "845-986-5999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARREN",
        "first_name": "ELLEN",
        "middle_name": "V",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-30",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XF0002X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Feeding, Eating & Swallowing",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "NY",
            "license": "007163-1",
            "primary": false
        },
        {
            "code": "225XN1300X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Neurorehabilitation",
            "state": "NY",
            "license": "007163-1",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NY",
            "license": "007163-1",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "007163-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vernon Physical Therapy LLC
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• Vincent J Gulfo MD PC
• Shuangping Wang, M.D.
• Paola Ward
• Warwick Allergy, P. C.
• Warwick Anesthesia Group LLC
• Warwick Anesthesia PC
• Warwick Community Ambulance Service Inc
• Warwick Counseling Licensed Social Worker PLLC

• Occupational Therapist in Warwick, NY
• Providers in Warwick, NY by specialty
• Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.