Individual provider Active NPI

Erin Ellis, OTR/L

  • Occupational Therapist
  • Shrewsbury, MA
National Provider Identifier
1710169305
Registry record updated Dec 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
8869 Issued in MA
Practice address
104 Harrington Ave
Shrewsbury, MA 01545-5248
Phone
(508) 898-2688
Fax
(508) 319-3200
NPI assigned
Dec 5, 2007
Last updated
Dec 5, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2007

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 8869 MA Primary

Addresses

Primary practice location

104 Harrington Ave
Shrewsbury, MA 01545-5248

Mailing address

76 Otis St
Westborough, MA 01581-3315
Phone (508) 898-2688

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

State licenses

LicenseStateTypeSpecialty
8869MAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Barrett Family Wellness Center Inc Occupational Therapist Past Accepting new patients
Barrett Family Wellness Center Inc. Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1196812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196812800000",
    "number": "1710169305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 OTIS ST",
            "city": "WESTBOROUGH",
            "state": "MA",
            "postal_code": "015813315",
            "telephone_number": "508-898-2688",
            "fax_number": "508-319-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 HARRINGTON AVE",
            "city": "SHREWSBURY",
            "state": "MA",
            "postal_code": "015455248",
            "telephone_number": "508-898-2688",
            "fax_number": "508-319-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "ERIN",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-05",
        "last_updated": "2007-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MA",
            "license": "8869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shrewsbury, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 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.