Active NPI
Elliott Phillips, COTA
- Occupational Therapy Assistant
- San Diego, CA
National Provider Identifier
1801714845
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 71566
- Practice address
- 3878 Ruffin Rd
San Diego, CA 92123-1842 - Phone
- (619) 795-9925
- NPI assigned
- Jul 8, 2026
- Sex
- Unspecified or another gender identity
- 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 Therapy Assistant | 224Z00000X | 71566 | CA | Primary |
Addresses
Primary practice location
3878 Ruffin Rd
San Diego, CA 92123-1842
Mailing address
3904 Day Flower CT
Columbia, MO 65203-6108
Phone (573) 514-9606
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1783468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783468800000",
"number": "1801714845",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3904 DAY FLOWER CT",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652036108",
"telephone_number": "573-514-9606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3878 RUFFIN RD",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921231842",
"telephone_number": "619-795-9925"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILLIPS",
"first_name": "ELLIOTT",
"credential": "COTA",
"sole_proprietor": "NO",
"sex": "X",
"enumeration_date": "2026-07-08",
"last_updated": "2026-07-08",
"certification_date": "2026-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "CA",
"license": "71566",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.