Jessica Ellinger, OTR/L CBIS

Primary specialty

Neurorehabilitation Occupational TherapistTaxonomy code 225XN1300X

License

5201008424 Issued in MI

Practice address

3181 Sandhill Rd
Mason, MI 48854-9425

Phone

(517) 336-6060

Fax

(517) 336-6050

NPI assigned

Apr 14, 2015

Last updated

Feb 8, 2019By the provider in NPPES

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

• Jessica Fluegeman Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1428969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549584000000",
    "number": "1457747685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3181 SANDHILL RD",
            "city": "MASON",
            "state": "MI",
            "postal_code": "488549425",
            "telephone_number": "517-336-6060",
            "fax_number": "517-336-6050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3181 SANDHILL RD",
            "city": "MASON",
            "state": "MI",
            "postal_code": "488549425",
            "telephone_number": "517-336-6060",
            "fax_number": "517-336-6050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLINGER",
        "first_name": "JESSICA",
        "credential": "OTR/L CBIS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-14",
        "last_updated": "2019-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XN1300X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Neurorehabilitation",
            "state": "MI",
            "license": "5201008424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "FLUEGEMAN",
            "credential": "OTR/L, CBIS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Dr. Glen a. Linsley Optometrist, PC
• Edward W. Sparrow Hospital Association (Sparrow Family Medicine Residency Central)
• Edward W. Sparrow Hospital Association (Sparrow Medical Group Mason)
• Edward W. Sparrow Hospital Association (Mason Community Health Center)
• Brianna Eldridge
• Brittany Elliott
• Mary R Elliott, LMFT
• Lisa Ann England, MI
• Matthew Epkey, MS, OTRL
• Erica Everett, LLBSW

• Neurorehabilitation Occupational Therapist in Mason, MI
• Providers in Mason, MI by specialty
• Neurorehabilitation Occupational Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2019; 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.