JACOB BRANNON ELLIS (NPI# 1306358270) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306358270 |
| Entity Type | Individual |
| Full Name | JACOB BRANNON ELLIS |
| Practice Address |
97 Hughes Rd Ste H Madison AL 35758-3401 |
| Practice Telephone | 2568837338 |
| Practice Fax Number | 2568837135 |
| Mailing Telephone | 2568837338 |
| Mailing Fax Number | 2568837135 |
| Enumeration Date | 2017-10-31 |
| Last Update Date | 2017-10-31 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 4316 | AL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
97 HUGHES RD STE H |
| City | MADISON |
| State | AL |
| Zip Code | 35758-3401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447448550 | Pediatric Therapy Link of North Alabama, LLC | Clinic/Center | 97 Hughes Rd Ste H, Madison, AL 35758-3401 | 2007-10-15 |
| 1508358250 | Hannah Winningham Mabrey | Occupational Therapy Assistant | 97 Hughes Rd Ste H, Madison, AL 35758-3401 | 2018-05-30 |
| 1447607007 | Hannah Gilbert | Occupational Therapist | 97 Hughes Rd Ste H, Madison, AL 35758-3401 | 2016-05-24 |
| 1265888564 | Ashley Hobbs | Occupational Therapist | 97 Hughes Rd Ste H, Madison, AL 35758-3401 | 2016-05-05 |
| 1588027387 | Jordan Manning Pack | Occupational Therapist | 97 Hughes Rd Ste H, Madison, AL 35758-3401 | 2016-03-30 |
| 1861679060 | Dawn Michelle Wallace | Occupational Therapy Assistant | 97 Hughes Rd Ste H, Madison, AL 35758-3401 | 2008-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487299277 | Hanging Lanes Christian Wellness Ministries and Counseling Center | Counselor | 650 Sun Temple Drive, Madison, AL 35758 | 2019-11-15 |
| 1104487396 | Caroline Thomas Estes | Occupational Therapist | 8475 Wann Drive, Madison, AL 35758 | 2019-06-27 |
| 1265902894 | Sharinne Summers Sears | Registered Nurse | 204 Grove Village Way, Madison, AL 35758 | 2018-11-27 |
| 1013484666 | Lori Pohly | Counselor | 190 Lime Quarry Road, Suite 212, Madison, AL 35758 | 2018-10-31 |
| 1174022297 | Rhonda Marie Stalb | Marriage & Family Therapist | 650 Sun Temple Dr Ste 101, Madison, AL 35758 | 2018-02-04 |
| 1528585932 | Alabama Dental Professionals, PC | Dentist | 7666 Highway 72 W, Madison, AL 35758 | 2017-08-25 |
| 1134658537 | Diane Bierbauer | Dietitian, Registered | 520 Thoreau Spring Ct, Madison, AL 35758 | 2017-06-08 |
| 1255870408 | Maggie Collins | Nurse Practitioner | 7559 U.S. 72, Madison, AL 35758 | 2017-02-21 |
| 1649648858 | Terry A. Burgess | Dentist | 810 Palmer Plaza, # 103, Madison, AL 35758 | 2015-09-03 |
| 1063896314 | Caswall C Harrigan Physician PC | Family Medicine | Madison Medical Plaza 540 Hughes Road, Suite 14, Madison, AL 35758 | 2015-07-16 |
| Find all providers in zip 35758 | ||||
| Taxonomy Code | 224Z00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapy Assistant |
| An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examination for occupational therapy assistants, and fulfills state requirements for licensure, certification, or registration. An occupational therapy assistant provides interventions under the supervision of an occupational therapist 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 therapy assistants 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, source changed] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619526399 | Kelly Salas | Occupational Therapy Assistant | 701 Deming Way Ste 110, Madison, WI 53717-2916 | 2019-09-05 |
| 1285291997 | Racheal Shawntell Gee | Occupational Therapy Assistant | 228 Sw Arbour Cir, Madison, FL 32340-4364 | 2019-05-29 |
| 1710471859 | Mariah Kay Barr | Occupational Therapy Assistant | 6205 Mineral Point Rd, Madison, WI 53705-4576 | 2018-06-21 |
| 1629560073 | Stephanie M Hill | Occupational Therapy Assistant | 20 Samantha Ln, Madison, CT 06443-8113 | 2018-06-01 |
| 1487150405 | Jessi Jones Blissett | Occupational Therapy Assistant | 106 Emry Cv, Madison, MS 39110-7784 | 2018-03-30 |
| 1629582200 | Julia Mary Loebertman | Occupational Therapy Assistant | 1044 N High Point Rd Apt 202, Madison, WI 53717-2814 | 2017-11-19 |
| 1902319320 | Chantelle Peplinski | Occupational Therapy Assistant | 2614 Ardsley Cir Apt 4, Madison, WI 53713-2969 | 2017-11-07 |
| 1225571730 | Lenette Thompson | Occupational Therapy Assistant | 4501 Wakefield St, Madison, WI 53711-1407 | 2016-12-01 |
| 1922488840 | Debra Smith | Occupational Therapy Assistant | 900 Colonial Lake Dr Apt 923, Madison, AL 35758-2283 | 2015-06-05 |
| 1548685654 | Traves Jeffery | Occupational Therapy Assistant | 122 Devlin Springs Dr, Madison, MS 39110-6549 | 2014-02-26 |
| Find all providers in MADISON | ||||
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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.