Active NPI
Meagan Ellner, OTR, OTD
- Occupational Therapist
- Stephenville, TX
National Provider Identifier
1306604376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 124443
- Practice address
- 2010 Good Tree St
Stephenville, TX 76401-6026 - Phone
- (254) 965-9897
- NPI assigned
- Mar 13, 2024
- 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 | 124443 | TX | Primary |
Addresses
Primary practice location
2010 Good Tree St
Stephenville, TX 76401-6026
Mailing address
8002 Whitworth LN
Round Rock, TX 78681-3416
Phone (512) 656-3394
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 124443 | TX | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710288000000",
"number": "1306604376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8002 WHITWORTH LN",
"city": "ROUND ROCK",
"state": "TX",
"postal_code": "786813416",
"telephone_number": "512-656-3394"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2010 GOOD TREE ST",
"city": "STEPHENVILLE",
"state": "TX",
"postal_code": "764016026",
"telephone_number": "254-965-9897"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELLNER",
"first_name": "MEAGAN",
"credential": "OTR, OTD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-03-13",
"last_updated": "2024-03-13",
"certification_date": "2024-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "124443",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stephenville, TX
- Lauren Duque, PT
- Eccare Professional Association of Texas P.a.
- Sharon Denise Edwards, OTR
- Allyson Elkins, SLP
- Miranda Ellis
- Peyton Elmore
- Emcc Stephenville Family Practice (Surepoint Family Practice Stephenville)
- Emcc Stephenville LLC (Surepoint Emergency Center Stephenville)
- Emcc Stephenville Physicians PLLC
- Erath Clinic, PLLC (Stephenville Health Clinic)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.