Individual provider Active NPI

Ellen Denise Winney, M.S.,OTR/L

  • Occupational Therapist
  • Wickliffe, OH
National Provider Identifier
1679768592
Registry record updated Sep 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
005794 Issued in OH
Practice address
28700 Euclid Ave
Integrations Treatment Center
Wickliffe, OH 44092-2527
Phone
(216) 965-6106
NPI assigned
Sep 13, 2007
Sex
Female
Sole proprietor
No

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
005794OHMDOccupational Therapist

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 005794 OH Primary

Addresses

NPPES NPI Registry

Primary practice location

28700 Euclid Ave
Integrations Treatment Center
Wickliffe, OH 44092-2527

Mailing address

28700 Euclid Ave
Integrations Treatment Center
Wickliffe, OH 44092-2527
Phone (216) 965-6106

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 13, 2007.

{
    "created_epoch": "1189641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189641600000",
    "number": "1679768592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28700 EUCLID AVE",
            "address_2": "INTEGRATIONS TREATMENT CENTER",
            "city": "WICKLIFFE",
            "state": "OH",
            "postal_code": "440922527",
            "telephone_number": "216-965-6106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28700 EUCLID AVE",
            "address_2": "INTEGRATIONS TREATMENT CENTER",
            "city": "WICKLIFFE",
            "state": "OH",
            "postal_code": "440922527",
            "telephone_number": "216-965-6106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINNEY",
        "first_name": "ELLEN",
        "middle_name": "DENISE",
        "name_prefix": "Mrs.",
        "credential": "M.S.,OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-13",
        "last_updated": "2007-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OH",
            "license": "005794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wickliffe, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2007; 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.