Individual provider Active NPI

Ellynel Carino, OTR

  • Occupational Therapist
  • Greenwood, IN
National Provider Identifier
1922264092
Registry record updated Sep 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
310039067 Issued in IN
Practice address
124 Hawthorne LN
Greenwood, IN 46142-9430
Phone
(317) 332-9861
Fax
(317) 893-4453
NPI assigned
Jul 29, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 310039067 IN Primary

Addresses

Primary practice location

124 Hawthorne LN
Greenwood, IN 46142-9430

Mailing address

124 Hawthorne LN
Greenwood, IN 46142-9430
Phone (317) 332-9861

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191003000929 IN Practitioner - Occupational Therapist in Private Practice 5991036089 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anew Therapy and Wellness LLCGroup PAC ID 8123415312, 29 clinicians

Practice addresses (Care Compare)

1450 E Crossing Blvd
Core Therapy and Wellness Honey Cre
Terre Haute, IN 47802-5316
Phone (812) 298-8209

Merit-based Incentive Payment System (MIPS)

Final score
83.79 of 100Reported as group
Quality
90
Improvement activities
40
Cost
30.97

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
310039067INMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Anew Therapy & Wellness LLC Occupational Therapist CurrentSince Feb 1, 2024 Accepting new patients
Therapy on Wheels, Inc. CurrentSince Sep 7, 2021 Accepting new patients
Anew Therapy & Wellness LLC Occupational Therapist CurrentSince Feb 1, 2024 Accepting new patients

Locations

6900 Gray Rd
Indianapolis, IN 46237
Phone (317) 788-2500

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1217289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630972800000",
    "number": "1922264092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 HAWTHORNE LN",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461429430",
            "telephone_number": "317-332-9861",
            "fax_number": "317-893-4453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 HAWTHORNE LN",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461429430",
            "telephone_number": "317-332-9861",
            "fax_number": "317-893-4453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARINO",
        "first_name": "ELLYNEL",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-29",
        "last_updated": "2021-09-07",
        "certification_date": "2021-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IN",
            "license": "310039067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.