Individual provider Active NPI

Elvalina Briggs Howard

  • Occupational Therapist
  • Sarasota, FL
National Provider Identifier
1699306738
Registry record updated Jan 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
20403 Issued in FL
Practice address
3938 S Tamiami TRL
Sarasota, FL 34231-3622
Phone
(941) 366-0011
Fax
(941) 957-0033
NPI assigned
Jan 28, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 20403 FL Primary

Addresses

Primary practice location

3938 S Tamiami TRL
Sarasota, FL 34231-3622

Mailing address

3938 S Tamiami TRL
Sarasota, FL 34231-3622
Phone (941) 366-0011

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Office Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231226000983 OR Practitioner - Occupational Therapist in Private Practice 1254769912 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emily Merollis Consulting LLCGroup PAC ID 9032443973, 10 clinicians

Practice addresses (Care Compare)

11 NE MLK Jr Blvd
Suite 202
Portland, OR 97232-3579
Phone (971) 337-6372

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20403FLMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Emily Merollis Consulting LLC CurrentSince Oct 18, 2023 Accepting new patients

Locations

11 NE Mlk Jr Blvd
Ste 202
Portland, OR 97232
Phone (971) 337-6372

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1580169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580169600000",
    "number": "1699306738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3938 S TAMIAMI TRL",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342313622",
            "telephone_number": "941-366-0011",
            "fax_number": "941-957-0033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3938 S TAMIAMI TRL",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342313622",
            "telephone_number": "941-366-0011",
            "fax_number": "941-957-0033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOWARD",
        "first_name": "ELVALINA",
        "middle_name": "BRIGGS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-28",
        "last_updated": "2020-01-28",
        "certification_date": "2020-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "20403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Office",
            "affiliation": "N",
            "endpointDescription": "Secured Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3938 S Tamiami Trl",
            "city": "Sarasota",
            "state": "FL",
            "country_code": "US",
            "postal_code": "342313622",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2020; 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.