Active NPI
Ellyn Jones
- Occupational Therapist
- Phoenix, AZ
National Provider Identifier
1700190873
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 4590
- Practice address
- 4045 E Union Hills Dr
Phoenix, AZ 85050 - Phone
- (480) 485-4444
- NPI assigned
- Aug 1, 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 | 4590 | AZ | Primary |
Addresses
Primary practice location
4045 E Union Hills Dr
Phoenix, AZ 85050
Mailing address
4045 E Union Hills Dr
Phoenix, AZ 85050-3386
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7227 E Baseline Rd
Suite 126
Mesa, AZ 85209-5006
Phone (480) 868-9650
Merit-based Incentive Payment System (MIPS)
- Final score
- 77.24 of 100
- Quality
- 66.21
- Improvement activities
- 40
- Cost
- 66.73
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4590 | AZ | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Century Care Inc | Current | Accepting new patients | |
| Sunrise Therapy Services, Inc | Occupational Therapist | Current | Accepting new patients |
Locations
7227 E Baseline Rd
Ste 126
Mesa, AZ 85209
Phone (907) 215-4846
4045 E Union Hills Dr
Ste 110
Phoenix, AZ 85050
Phone (602) 485-4444
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Mesa, AZ
- NPI 1346499324
-
- Rehabilitation Practitioner
- Phoenix, AZ
- NPI 1033113501
-
- Health Service Clinic/Center
- Phoenix, AZ
- NPI 1063277689
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531958400000",
"number": "1700190873",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4045 E UNION HILLS DR",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850503386"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4045 E UNION HILLS DR",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "85050",
"telephone_number": "480-485-4444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "ELLYN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-01",
"last_updated": "2018-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AZ",
"license": "4590",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2018; 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.