Christina Marie Ellis, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

9508 Issued in NC

Practice address

6590 Tryon Rd
Cary, NC 27518-7052

Phone

(413) 427-3317

NPI assigned

Mar 28, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Christina Marie Rode Former name

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": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632700800000",
    "number": "1316066780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4233 WIGGINS MILL RD",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278939714",
            "telephone_number": "413-427-3317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6590 TRYON RD",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275187052",
            "telephone_number": "413-427-3317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "CHRISTINA",
        "middle_name": "MARIE",
        "credential": "COTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-28",
        "last_updated": "2021-09-27",
        "certification_date": "2021-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NC",
            "license": "9508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINA",
            "last_name": "RODE",
            "middle_name": "MARIE",
            "credential": "COTA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Benjamin Paul Ellenberger
• Destiny Paige Elliott
• Jasmine Elliott, LCMHCA
• Michelle Elliott, D.C.
• Robert D. Elliott, DMD, MS
• Erica Elain Ellis, FNP
• Jamie Marie Ellis, MSN, RN, WHNP-BC
• Jenine M Ellis, RDMS
• Kendall Craig Ellis, OT
• Rochelle Keener Ellis

• Occupational Therapy Assistant in Cary, NC
• Providers in Cary, NC by specialty
• Occupational Therapy Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2021; 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.