Active NPI
Ellen Bell, COTA/L
- Occupational Therapy Assistant
- Daytona Beach, FL
National Provider Identifier
1851925465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- OTA.006960
- Practice address
- 1219 Dunn Ave
Daytona Beach, FL 32114-2405 - Phone
- (386) 255-4568
- NPI assigned
- Feb 24, 2020
- Sex
- Female
- 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 | OTA.006960 | OH | Primary |
Addresses
Primary practice location
1219 Dunn Ave
Daytona Beach, FL 32114-2405
Mailing address
1219 Dunn Ave
Daytona Beach, FL 32114-2405
Phone (386) 255-4568
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0403568 | Medicaid | OH |
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
| License | State | Type | Specialty |
|---|---|---|---|
| OTA.006960 | OH | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714348800000",
"number": "1851925465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1219 DUNN AVE",
"city": "DAYTONA BEACH",
"state": "FL",
"postal_code": "321142405",
"telephone_number": "386-255-4568"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1219 DUNN AVE",
"city": "DAYTONA BEACH",
"state": "FL",
"postal_code": "321142405",
"telephone_number": "386-255-4568"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BELL",
"first_name": "ELLEN",
"credential": "COTA/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-24",
"last_updated": "2024-04-29",
"certification_date": "2024-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "OH",
"license": "OTA.006960",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0403568",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Daytona Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.