Olivia Traver Ellis-Jenko, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT61416697 Issued in WA

Practice address

3901 Capital Mall Dr SW Ste D
Olympia, WA 98502-8654

Phone

(360) 709-6221

Fax

(360) 359-4727

NPI assigned

Feb 8, 2021

Last updated

May 24, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Olivia Traver Ellis Former name

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Multicare Health SystemGroup PAC ID 7719899897, shared by 46 NPIs, 2,312 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

88.86 of 100Reported as group

Quality

75.41

Promoting interoperability

100

Improvement activities

40

Cost

87.45

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/5512/brand/1/csg/1/fhir/r4
• Direct secure messaging: olivia.ellis-jenko.1@5512.direct.athenahealth.com

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.

• Olympia Orthopaedic Associates PLLC

  dba Centralia Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Olympia, WA
  • NPI 1083785398
  Medicare reassignment NPD
• Olympia Orthopaedic Associates, PLLC

  • Durable Medical Equipment & Medical Supplies
  • Centralia, WA
  • NPI 1134089576
  NPD

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

{
    "created_epoch": "1612742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684886400000",
    "number": "1538751805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 GREGORY WAY SE",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "98513",
            "telephone_number": "802-922-1826",
            "fax_number": "360-359-4727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 CAPITAL MALL DR SW STE D",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985028654",
            "telephone_number": "360-709-6221",
            "fax_number": "360-359-4727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS-JENKO",
        "first_name": "OLIVIA",
        "middle_name": "TRAVER",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-08",
        "last_updated": "2023-05-24",
        "certification_date": "2023-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "OT61416697",
            "primary": true
        },
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "MT",
            "license": "5371",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "OLIVIA",
            "last_name": "ELLIS",
            "middle_name": "TRAVER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jon Benjamin Eller
• Israel Ellerbrock, PTA
• Robin Grace Ellingson-Miller, ARNP
• Angela Elliott, CP61279999
• Laura K Elliott, LMP
• Amber Ellis, L.M.P
• Elizabeth Ellis
• Evelyn Le Ellis, ND
• Fred E Ellis, DPD DENTURIST OF PRO
• Harri-Ann Donna Ellis

• Occupational Therapist in Olympia, WA
• Providers in Olympia, WA by specialty
• Occupational Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2023; 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.

Verify at the official NPI Registry.