Penny W Elkins

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Practice address

1 Wood PL
Bay St Louis, MS 39520-2836

Phone

(228) 467-2890

NPI assigned

Apr 7, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Coastal Therapy Services, Inc

  • Occupational Therapist
  • Bay St Louis, MS
  • NPI 1184863870
  NPD (past)

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

{
    "created_epoch": "1270598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353369600000",
    "number": "1659697282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 WOOD PL",
            "city": "BAY ST LOUIS",
            "state": "MS",
            "postal_code": "395202836",
            "telephone_number": "228-467-2890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WOOD PL",
            "city": "BAY ST LOUIS",
            "state": "MS",
            "postal_code": "395202836",
            "telephone_number": "228-467-2890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELKINS",
        "first_name": "PENNY",
        "middle_name": "W",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-07",
        "last_updated": "2012-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diagnostic Pathology Services, Inc
• Jessica Lynn Douglas, MD
• Ally Elizabeth Duet, PA-C
• Dunbar Village L.P.
• Dynamic Diagnostics LLC
• Em Dimitri DO PMC
• Ethel W Hetrick PHD PLLC
• Keith M Everman, D.C.
• Meghan Flynt, LPC
• Maghan Foos, FNP-C

• All providers in Bay St Louis, MS
• Occupational Therapist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2012; 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.