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  7. NPI Record 1972635530

MRS. JILL M ELLIOTT MS, OTR
Complete NPI Record 1972635530
Occupational Therapist in Greenwood, IN

NPI Status: Active since March 09, 2007

Contact Information

637 S STATE ROAD 135
SUITE C
GREENWOOD, IN
ZIP 46142
Phone: (317) 865-1110

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Table of Contents

  1. NPI
  2. Entity Type Code
  3. Provider Last Name Legal Name
  4. Provider First Name
  5. Provider Middle Name
  6. Provider Name Prefix Text
  7. Provider Credential Text
  8. Provider First Line Business Mailing Address
  9. Provider Business Mailing Address City Name
  10. Provider Business Mailing Address State Name
  11. Provider Business Mailing Address Postal Code
  12. Provider Business Mailing Address Country Code If outside U S
  13. Provider Business Mailing Address Telephone Number
  14. Provider Business Mailing Address Fax Number
  15. Provider First Line Business Practice Location Address
  16. Provider Second Line Business Practice Location Address
  17. Provider Business Practice Location Address City Name
  18. Provider Business Practice Location Address State Name
  19. Provider Business Practice Location Address Postal Code
  20. Provider Business Practice Location Address Country Code If outside U S
  21. Provider Business Practice Location Address Telephone Number
  22. Provider Enumeration Date
  23. Last Update Date
  24. Provider Gender Code
  25. Healthcare Provider Taxonomy Code 1
  26. Provider License Number 1
  27. Provider License Number State Code 1
  28. Healthcare Provider Primary Taxonomy Switch 1
  29. Is Sole Proprietor

Complete NPI Dataset

This page represents the complete record for NPI 1972635530. You can access the complete dataset, including a full list of field names, along with their values, and definitions as recorded by the NPI registry. Each field in the NPI record is explained, highlighting its significance and the possible values it can hold.

NPI: 1972635530
The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
Entity Type Code: 1
Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
The last name of the provider. If the provider is an individual, this is the legal name.
Provider First Name: JILL
The name of the organization provider. If the provider is an organization, this is the legal business name.
Provider Middle Name: M
The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
Provider Name Prefix Text: MRS.
The city name in the mailing address of the provider being identified.
Provider Credential Text: MS, OTR
The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".
Provider First Line Business Mailing Address: 1041 BENNINGTON CT
The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".
Provider Business Mailing Address City Name: GREENWOOD
The country code in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address country code".
Provider Business Mailing Address State Name: IN
The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
Provider Business Mailing Address Postal Code: 461437547
The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Mailing Address Country Code If outside U S : US
The city name in the location address of the provider being identified.
Provider Business Mailing Address Telephone Number: 3178653150
The State code in the location of the provider being identified.
Provider Business Mailing Address Fax Number: 3178653150
The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as "Provider location address fax number".
Provider First Line Business Practice Location Address: 637 S STATE ROAD 135
The country code in the location address of the provider being identified.
Provider Second Line Business Practice Location Address: SUITE C
The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address City Name: GREENWOOD
The date the provider was assigned a unique identifier (assigned an NPI).
Provider Business Practice Location Address State Name: IN
The date that a record was last updated or changed.
Provider Business Practice Location Address Postal Code: 461421443
The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
Provider Business Practice Location Address Country Code If outside U S : US
The first name of the authorized official.
Provider Business Practice Location Address Telephone Number: 3178651110
The telephone number associated with the location address of the provider being identified.
Provider Enumeration Date: 3/9/2007
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date: 7/8/2007
The 10-position telephone number of the authorized official.
Provider Gender Code: F
This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
Healthcare Provider Taxonomy Code 1: 225X00000X
This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
Provider License Number 1: 31000432A
The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with "provider taxonomy code".
Provider License Number State Code 1: IN
The two-letter state code representing the U.S. state or territory that issued the provider's license. This field is linked to the Provider License Number field and identifies the jurisdiction where that license is valid. A provider may have multiple state codes if they hold licenses in more than one state.
Healthcare Provider Primary Taxonomy Switch 1: Y
This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
Is Sole Proprietor: N
Indicates whether the provider is registered as a sole proprietor. This is a single-character code: "Y" means the provider operates as a sole proprietor, and "N" means they do not.