MR. MARK BRYAN ELLIS (NPI# 1003069147) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003069147 |
| Entity Type | Individual |
| Full Name | MR. MARK BRYAN ELLIS |
| Credential | OTR/L |
| Practice Address |
9601 Interstate 630 Exit 7 Little Rock AR 72205-7202 |
| Mailing Address |
250 Lorene St Austin AR 72007-9137 |
| Practice Telephone | 5012027598 |
| Mailing Telephone | 5016058113 |
| Enumeration Date | 2008-11-03 |
| Last Update Date | 2008-11-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | OTR567 | AR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972897080 | Mark Ellis | Podiatrist | 12592 S 150 E, Draper, UT 84020-8611 | 2011-06-06 |
| 1659682219 | Mark Kenneth Ellis | Emergency Medicine | 2 5th Ave Apt 2d, New York, NY 10011-8832 | 2010-06-29 |
| 1174661672 | Mark Joseph Ellis | Chiropractor | 41 Western Avenue, Rochester, NH 03867 | 2007-02-05 |
| 1336204171 | Mark J Ellis | Respiratory Therapist, Certified | 1101 Jefferson Blvd, Hagerstown, MD 21742-5037 | 2006-12-22 |
| 1184719262 | Mark Allen Ellis | Dentist | 910 Averitt Rd, Greenwood, IN 46143-9540 | 2006-10-04 |
| 1437240124 | Mark Owen Ellis | Podiatrist | 582 22nd Street, Astoria, OR 97103 | 2006-09-27 |
| 1083632244 | Mark Brian Ellis | Family Medicine | 1018 Rucker Blvd, Ste A, Enterprise, AL 36330-3675 | 2006-07-17 |
| 1265426894 | Mark Alan Ellis | Dentist | 951 Riverfront Pkwy, Suite 302, Chattanooga, TN 37402-2185 | 2005-09-09 |
| 1316580509 | Mark Duane Ellis | Licensed Practical Nurse | 2600 Se Belmont St, Portland, OR 97214-2916 | 2019-10-21 |
| 1629427752 | Mark Andrew Ellis | Otolaryngology | 169 Ashley Ave, Room 202 Main Hospital, Msc 333, Charleston, SC 29425-9080 | 2016-06-09 |
| Street Address |
9601 INTERSTATE 630 EXIT 7 |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72205-7202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831183193 | Rodney H Mccarver | Anesthesiology | 9601 Interstate 630 Exit 7, Little Rock, AR 72205-7202 | 2005-09-01 |
| 1356763734 | Seth Bunting | Nurse Anesthetist, Certified Registered | 9601 Interstate 630 Exit 7, Little Rock, AR 72205-7202 | 2014-01-20 |
| 1629403654 | Cecile W Kimmer | Physical Therapist | 9601 Interstate 630 Exit 7, Little Rock, AR 72205-7202 | 2013-09-10 |
| 1982037560 | Sarah Branscum | Occupational Therapy Assistant | 9601 Interstate 630 Exit 7, Little Rock, AR 72205-7202 | 2013-08-19 |
| 1063845717 | Stacy Lynn Mitchell | Physical Therapist | 9601 Interstate 630 Exit 7, Physical Therapy Department, Little Rock, AR 72205-7202 | 2013-08-16 |
| 1033556691 | Brent Anthony Lea | Nurse Anesthetist, Certified Registered | 9601 Interstate 630 Exit 7, Little Rock, AR 72205-7202 | 2013-05-22 |
| 1447591250 | David W Thornton | Nurse Anesthetist, Certified Registered | 9601 Interstate 630 Exit 7, Little Rock, AR 72205-7202 | 2013-03-05 |
| 1518202233 | Sheryl Ann Lallemand | Registered Nurse | 9601 Interstate 630 Exit 7, Little Rock, AR 72205-7202 | 2012-12-06 |
| 1205197191 | Andrew J Appler | Physical Therapist | 9601 Interstate 630 Exit 7, Little Rock, AR 72205-7202 | 2012-06-06 |
| 1780943316 | Lydia Pauline Sartain | Dietitian, Registered | 9601 Interstate 630 Exit 7, Little Rock, AR 72205-7202 | 2012-05-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932719465 | Darleisha Renee Stigall | Behavior Technician | 1210 Aldersdate Rd, Little Rock, AR 72205 | 2020-08-10 |
| 1316563638 | Unknown Amisha | Student in an Organized Health Care Education/Training Program | 4301 West Markham St, Slot #634, University of Arkansas, Little Rock, AR 72205 | 2020-06-23 |
| 1225667272 | Ann-marie Frances Hayre | Student in an Organized Health Care Education/Training Program | 4310 West Markham, Slot 589, Little Rock, AR 72205 | 2020-04-02 |
| 1952930075 | Alexandria Leigh Smith | Student in an Organized Health Care Education/Training Program | 4301 West Markham St, Slot 531, Little Rock, AR 72205 | 2020-04-02 |
| 1093353922 | Phil Fagala | Pharmacist | 614 North Beechwood, Little Rock, AR 72205 | 2019-12-10 |
| 1295391688 | Home To Community Living, Inc | Physical Therapist | 10201 W Markham Street Pulaski, Little Rock, AR 72205 | 2019-05-12 |
| 1669933693 | Sandy Louise Webb | Student in an Organized Health Care Education/Training Program | 4301 West Markham, Slot 530, Little Rock, AR 72205 | 2019-03-31 |
| 1457812828 | Vincent Battafarano | Student in an Organized Health Care Education/Training Program | 4301 West Markham, Slot 602, Little Rock, AR 72205 | 2019-03-28 |
| 1063978922 | Franks Pediatric Occupational Therapy LLC | Occupational Therapist | 5516 C St, Little Rock, AR 72205 | 2019-02-15 |
| 1497210199 | Integrative Counseling Center LLC | Counselor | 10515 W Markham St Ste D3, Little Rock, AR 72205 | 2019-02-06 |
| Find all providers in zip 72205 | ||||
| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063978922 | Franks Pediatric Occupational Therapy LLC | Occupational Therapist | 5516 C St, Little Rock, AR 72205 | 2019-02-15 |
| 1700361656 | Katherine Leigh Edgar | Occupational Therapist | 10515 W Markham St Ste H10, Little Rock, AR 72205-2284 | 2018-09-26 |
| 1609359694 | Angela Katherine Green | Occupational Therapist | 101 Morgan Keegan Dr Ste B, Little Rock, AR 72202-2267 | 2018-09-14 |
| 1891289013 | Monica Wisenbaker | Occupational Therapist | 13915 Saint Michael Dr, Little Rock, AR 72211-6200 | 2018-06-20 |
| 1871019695 | Adrianne Yvette Cade | Occupational Therapist | 11900 Colonel Glenn Rd Ste 2000, Little Rock, AR 72210-2829 | 2017-08-15 |
| 1568821825 | Monica Lynn Beard-raymond | Occupational Therapist | 122 Berry St, Little Rock, AR 72205-4302 | 2016-02-15 |
| 1538595491 | Fawnda Kaye Steelman | Occupational Therapist | 4301 West Markham #805, Uams Medical Center, Little Rock, AR 72205 | 2013-09-23 |
| 1891045464 | Nathan James Winter | Occupational Therapist | 26 Corporate Hill Dr., Little Rock, AR 72201 | 2012-09-11 |
| 1942559935 | Jennifer Leigh Acklin | Occupational Therapist | 2419 Stoney Creek Dr, Little Rock, AR 72211-4058 | 2012-09-05 |
| 1912263518 | Mary Anne Mabry | Occupational Therapist | 1106 Loretta Ln, Little Rock, AR 72227-5957 | 2012-04-09 |
| Find all providers in LITTLE ROCK | ||||
| City | LITTLE ROCK |
| Zip Code | 72205 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.