Ellison Pennington, MOT, LOT/R

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

352967 Issued in LA

Practice address

37278 Market Place Dr
Prairieville, LA 70769-3487

Phone

(225) 744-1717

Fax

(225) 744-1718

NPI assigned

Oct 6, 2026

Last updated

Oct 6, 2026By 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

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

{
    "created_epoch": "1791244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791244800000",
    "number": "1710881495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37278 MARKET PLACE DR",
            "city": "PRAIRIEVILLE",
            "state": "LA",
            "postal_code": "707693487",
            "telephone_number": "225-744-1717",
            "fax_number": "225-744-1718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37278 MARKET PLACE DR",
            "city": "PRAIRIEVILLE",
            "state": "LA",
            "postal_code": "707693487",
            "telephone_number": "225-744-1717",
            "fax_number": "225-744-1718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENNINGTON",
        "first_name": "ELLISON",
        "credential": "MOT, LOT/R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-10-06",
        "last_updated": "2026-10-06",
        "certification_date": "2026-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "LA",
            "license": "352967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pediatric Occupational Therapist in Prairieville, LA
• Providers in Prairieville, LA by specialty
• Pediatric Occupational Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.