Active NPI
Mary Denise Elsey, OT/R
- Occupational Therapist
- Canton, OH
National Provider Identifier
1659681872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT.000153
- Practice address
- 3015 17TH St NW
Canton, OH 44708-6004 - Phone
- (330) 454-6508
- NPI assigned
- Oct 21, 2010
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT.000153 | OH | Primary |
Addresses
Primary practice location
3015 17TH St NW
Canton, OH 44708-6004
Mailing address
1574 King Dr
Uniontown, OH 44685-7726
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT.000153 | OH | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1287619200000",
"number": "1659681872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1574 KING DR",
"city": "UNIONTOWN",
"state": "OH",
"postal_code": "446857726"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3015 17TH ST NW",
"city": "CANTON",
"state": "OH",
"postal_code": "447086004",
"telephone_number": "330-454-6508"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELSEY",
"first_name": "MARY",
"middle_name": "DENISE",
"credential": "OT/R",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-10-21",
"last_updated": "2010-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "OH",
"license": "OT.000153",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Canton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.