Individual provider Active NPI

Elise Cohen-Ouellette, OTR/L

  • Occupational Therapist
  • Plantation, FL
National Provider Identifier
1962695270
Registry record updated Aug 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
0907 Issued in FL
Practice address
2200 NW 118TH Ave
Plantation, FL 33323-1924
Phone
(954) 424-2205
NPI assigned
Aug 20, 2007
Last updated
Aug 20, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2007

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 0907 FL Primary

Addresses

Primary practice location

2200 NW 118TH Ave
Plantation, FL 33323-1924

Mailing address

3237 Clover Blossom Cir
Land O Lakes, FL 34638-7991
Phone (813) 920-1776

Other identifiers 1

IdentifierTypeStateIssuer
889720400MedicaidFL

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

LicenseStateTypeSpecialty
0907FLMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Holistic Therapy Solutions Past Accepting new patients
Holistic Therapy Solutions Inc Occupational Therapist Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1187568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187568000000",
    "number": "1962695270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3237 CLOVER BLOSSOM CIR",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346387991",
            "telephone_number": "813-920-1776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 NW 118TH AVE",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333231924",
            "telephone_number": "954-424-2205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHEN-OUELLETTE",
        "first_name": "ELISE",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-20",
        "last_updated": "2007-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "0907",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "889720400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2007; 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.