Mary Ellen Elder, OTR/L
Individual provider Active NPI Occupational Therapist · Seminole, TX
NPI 1992991889 · NPPES record last updated Oct 29, 2021
Key facts
- NPI
- 1992991889
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 114224 (TX)
- Practice address
- 500 SW 19TH St
Seminole, TX 79360-3806 - Phone
- (575) 706-5923
- Fax
- (432) 523-1903
- NPI assigned
- Sep 24, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1961 | NM | MD | Occupational Therapist |
| 114224 | TX | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 1961 | NM | |
| Occupational Therapist | 225X00000X | 114224 | TX | Yes |
Addresses
Primary practice location
500 SW 19TH St
Seminole, TX 79360-3806
Mailing address
500 SW 19TH St
Seminole, TX 79360-3806
Phone (575) 706-5923
Other providers in Seminole, TX
- City of Seminole
- Sara Cox
- Anna Driedger
- DRS E M Wright & Wright & Wright Optometrists PC
- Gary D. Dugger
- Kimberly Luevano Enriquez
- Daniel Brian Fish
- Melonie Freeman
- Wesley John Friesen
- Gaines Care Pharmacy LLC
All providers in Seminole, TX · Occupational Therapist in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 29, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.