Mr Mark Bryan Ellis, OTR/L | |
9601 Interstate 630 Exit 7, Little Rock, AR 72205-7202 | |
(501) 202-7598 | |
Not Available |
Full Name | Mr Mark Bryan Ellis |
---|---|
Gender | Male |
Speciality | Occupational Therapy |
Experience | 33 Years |
Location | 9601 Interstate 630 Exit 7, Little Rock, Arkansas |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003069147 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | OTR567 (Arkansas) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
University Of Arkansas | 4082528955 | 1098 |
Provider Name | University Of Arkansas For Medical Sciences |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1588654016 PECOS PAC ID: 4082528955 Enrollment ID: O20031219000706 |
Mailing Address | Practice Location Address |
---|---|
Mr Mark Bryan Ellis, OTR/L 250 Lorene St, Austin, AR 72007-9137 Ph: (501) 605-8113 | Mr Mark Bryan Ellis, OTR/L 9601 Interstate 630 Exit 7, Little Rock, AR 72205-7202 Ph: (501) 202-7598 |
Dr. Whitney Harper, OTD, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 9000 N Rodney Parham Rd, Little Rock, AR 72205 Phone: 501-503-5160 | |
Mrs. Barbara Jean Wilson, OTR Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 4301 W Markham St # 547-11, Little Rock, AR 72205 Phone: 501-686-6102 Fax: 501-296-1216 | |
Tiffany Vo Goodwin, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 810 W Markham St, Little Rock, AR 72201 Phone: 501-447-1043 | |
Mr. Noah Robert Hansen, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 10618 Breckenridge Dr, Little Rock, AR 72211 Phone: 501-217-8600 Fax: 501-217-8636 | |
Amber Douglas, OTR/L, MOT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 629 Jack Stephens Dr, Rehabilitation Services, Little Rock, AR 72205 Phone: 501-526-5770 | |
Mrs. Shannon Leigh Taylor, OTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 9601 I-630 Exit 7, Little Rock, AR 72205 Phone: 501-202-7598 |