Michelle Ellis, OTL/R

Primary specialty

Mental Health Occupational TherapistTaxonomy code 225XM0800X

License

5258 Issued in AL

Practice address

185 Chateau Dr SW Ste 102
Huntsville, AL 35801-7415

Phone

(256) 489-1583

Fax

(256) 489-1595

NPI assigned

Feb 23, 2021

Last updated

Feb 23, 2021By 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 2

Addresses

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": "1614038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614038400000",
    "number": "1457945214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 CHATEAU DR SW STE 102",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358017415",
            "telephone_number": "256-489-1583",
            "fax_number": "256-489-1595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 CHATEAU DR SW STE 102",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358017415",
            "telephone_number": "256-489-1583",
            "fax_number": "256-489-1595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "OTL/R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-23",
        "last_updated": "2021-02-23",
        "certification_date": "2021-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AL",
            "license": "5258",
            "primary": false
        },
        {
            "code": "225XM0800X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Mental Health",
            "state": "AL",
            "license": "5258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara Helen Ellis, RPT
• Candy Michelle Ellis, D.C.
• Chelsea E Ellis, RBT-24-372929
• Kevin Scott Ellis, M.D.
• Kimberly Ellis, CRNP
• Sarah Schmidt Ellis, D.M.D
• Zachary Adam Ellis
• Kelli B Ellison, R.PH
• Patricia Phillips Elmore, CRNP
• Mason Elsberry

• Mental Health Occupational Therapist in Huntsville, AL
• Providers in Huntsville, AL by specialty
• Mental Health Occupational Therapist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 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.