Terri Lynn Ellison, MSOT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

5171 Issued in TN

Practice address

1430 Corporate Parkway Blvd
Clarksville, TN 37040-6196

Phone

(931) 245-0679

Fax

(931) 245-0682

NPI assigned

Mar 11, 2015

Last updated

Mar 11, 2015By 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 1

Addresses

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": "1426032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426032000000",
    "number": "1659764975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 681478",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370681478",
            "telephone_number": "615-591-6590",
            "fax_number": "615-591-6601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 CORPORATE PARKWAY BLVD",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370406196",
            "telephone_number": "931-245-0679",
            "fax_number": "931-245-0682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLISON",
        "first_name": "TERRI",
        "middle_name": "LYNN",
        "credential": "MSOT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-11",
        "last_updated": "2015-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TN",
            "license": "5171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Makenzi Ellis
• Randall E Ellis, M.D.
• Roger Terry Ellis, D.D.S.
• Sarah Eisen Ellis, MD
• Angela Mae Ellison, APRN
• Ellen Owen Elmore, O.D.
• Grayson Hunter Elmore, ATC
• Jennifer Elrod, RBT
• Lisa M Ely, O.D.08
• Thomas Lee Ely, D.O.

• Occupational Therapist in Clarksville, TN
• Providers in Clarksville, TN by specialty
• Occupational Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2015; 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.