Active NPI
Ellynel Carino, OTR
- Occupational Therapist
- Greenwood, IN
National Provider Identifier
1922264092
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 310039067
- 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
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 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
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
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 100
- Quality
- 90
- Improvement activities
- 40
- Cost
- 30.97
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 310039067 | IN | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anew Therapy & Wellness LLC | Occupational Therapist | Current | Accepting new patients |
| Therapy on Wheels, Inc. | Current | Accepting new patients | |
| Anew Therapy & Wellness LLC | Occupational Therapist | Current | 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.
-
- Rehabilitation Clinic/Center
- Terre Haute, IN
- NPI 1225792534
Occupational Therapist
-
- Rehabilitation Clinic/Center
- Greenwood, IN
- NPI 1932654985
-
- Rehabilitation Clinic/Center
- Indianapolis, IN
- NPI 1700398047
-
- Rehabilitation Clinic/Center
- Indianapolis, IN
- NPI 1346002839
Occupational Therapist
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.