Ellen May, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

119825 Issued in AK

Practice address

1020 Barnette St
Fairbanks, AK 99701-4502

Phone

(907) 456-4003

NPI assigned

Sep 1, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Acca, Inc.

  • Multi-Specialty Clinic/Center
  • Fairbanks, AK
  • NPI 1922212844
  NPD
• Acca, Inc

  • Speech-Language Pathologist
  • Fairbanks, AK
  • NPI 1740532985
  NPD (past)

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

{
    "created_epoch": "1441065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668556800000",
    "number": "1740657147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 528",
            "city": "BETHEL",
            "state": "AK",
            "postal_code": "995590528",
            "telephone_number": "907-543-3690",
            "fax_number": "907-543-1276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 BARNETTE ST",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997014502",
            "telephone_number": "907-456-4003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAY",
        "first_name": "ELLEN",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-01",
        "last_updated": "2022-11-16",
        "certification_date": "2022-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC014038",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AK",
            "license": "119825",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1002573",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Matz, CCC-SLP
• Amber Doris Maughan, CDC I
• Mavencamp Family Eyecare, Inc
• Michael J Mavencamp, OD
• Ruth Marie Maxwell
• Heidi Anna May, CNM, ANP
• William Maydwell
• Mayer Clinic Incorporated
• John Richard Mayer, MD
• Natalie Seibert Mayer, MD

• Occupational Therapist in Fairbanks, AK
• Providers in Fairbanks, AK by specialty
• Occupational Therapist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2022; 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.