Active NPI
Jordan Ellington
- Physical Rehabilitation Occupational Therapist
- Mount Holly, NJ
National Provider Identifier
1427995182
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Rehabilitation Occupational Therapist
- License
- 46TR01180200
- Practice address
- 416 Smith LN
Mount Holly, NJ 08060-1003 - Phone
- (281) 743-0284
- NPI assigned
- Apr 30, 2026
- Last updated
- Apr 30, 2026
- 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 |
|---|---|---|---|---|
| Physical Rehabilitation Occupational Therapist | 225XP0019X | 46TR01180200 | NJ | Primary |
Addresses
Primary practice location
416 Smith LN
Mount Holly, NJ 08060-1003
Mailing address
416 Smith LN
Mount Holly, NJ 08060-1003
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Dayton, NJ 08810
Phone (607) 761-7323
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 46TR01180200 | NJ | MD | Physical Rehabilitation Occupational Therapist |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Dayton, NJ
- NPI 1013638667
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1777507200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777507200000",
"number": "1427995182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "416 SMITH LN",
"city": "MOUNT HOLLY",
"state": "NJ",
"postal_code": "080601003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "416 SMITH LN",
"city": "MOUNT HOLLY",
"state": "NJ",
"postal_code": "080601003",
"telephone_number": "281-743-0284"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELLINGTON",
"first_name": "JORDAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-04-30",
"last_updated": "2026-04-30",
"certification_date": "2026-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0019X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Physical Rehabilitation",
"state": "NJ",
"license": "46TR01180200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mount Holly, NJ
- Hannah L Durning, PA-C
- Catherine L Dwosh, M.S., A.P.N.-C
- Edward V. Shagam, .D.D.S., P.a.
- Maged Y Eldabh, RPH
- Daniel Elisha, M.D
- Ebony Olivia Ellis
- Emergency Physician Services of New Jersey,Professional Association
- Michael S Entmacher, MD
- Epic Therapy and Counseling Services LLC
- Carrie Marie Evans, D.O.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2026; 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.