Tara Elliott, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT1458 Issued in MS

Practice address

2541 Pass Rd Ste F
Biloxi, MS 39531

Phone

(228) 818-1211

NPI assigned

Jul 5, 2018

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1530748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546819200000",
    "number": "1841786530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 JOHNSTON ST SE STE 200",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356012515",
            "telephone_number": "256-350-1764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2541 PASS RD STE F",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "39531",
            "telephone_number": "228-818-1211"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 Baker Blvd",
            "address_purpose": "LOCATION",
            "city": "Leland",
            "state": "MS",
            "postal_code": "387563401",
            "country_code": "US",
            "telephone_number": "662-686-4121",
            "fax_number": "662-796-6259",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELLIOTT",
        "first_name": "TARA",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-05",
        "last_updated": "2019-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MS",
            "license": "OT1458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adam Jeffery Eichler, D.M.D.
• Blake Elgin Elkins, M.D.
• Denise Elkins, PHARMD
• Allan Keith Elliott, RPH
• Shianne Elliott
• Earl Ellis, D.D.S., M.S
• Jonathan Edward Ellis, M.D.
• Marilyn E Ellis, NURSE PRACTITIONER
• Bryan Allen Ellsberry, OTR/L
• Kaitlyn Ellsworth

• Occupational Therapist in Biloxi, MS
• Providers in Biloxi, MS by specialty
• Occupational Therapist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2019; 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.