Jenna Ellerbrock, COTA/L

ActiveIndividual ProviderSpecialty not listed
NPI issued: August 8, 2016

Quick Facts

NPI Number
1104370097
TypeIndividual
StatusActive
SpecialtySpecialty not listed
Taxonomy224Z00000X — Specialty not listed
Phone
(567) 444-4800
StateOH

NPI Validation Status: Verified

Valid 10-digit NPI number (1104370097)
Active status confirmed
Verified by CMS NPPES Registry
HIPAA compliant identifier
Enumeration date on file (August 8, 2016)
Data source: CMS NPPES

Provider Overview

JENNA ELLERBROCK, COTA/L is a Healthcare provider based in Archbold, OH who has been registered with CMS since 2016. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1104370097
Provider TypeIndividual Provider
GenderFemale
CredentialCOTA/L
StatusActive
Enumeration DateAugust 8, 2016

Practice Location

CityArchbold
StateOH
ZIP Code43502-8404
Phone(567) 444-4800

Specialties & Licenses

★ Primary
SpecialtySpecialty not listed
Taxonomy Code224Z00000X
License StateOH

Mailing Address

CityArchbold
StateOH
ZIP Code43502-8404
Phone(567) 444-4800
Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1104370097 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1104370097for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1104370097 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Specialty not listed

Specialists in Specialty not listed provide expert clinical care within their specific domain, focusing on the diagnosis, treatment, and management of conditions relevant to their field of practice.

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42,492
Specialty not listed Providers in the US

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People Also Ask

What is Jenna Ellerbrock's NPI number?
Jenna Ellerbrock's NPI number is 1104370097, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Jenna Ellerbrock's NPI currently active?
Yes, Jenna Ellerbrock's NPI status is Active as of the latest CMS NPPES database updates.
What does Jenna Ellerbrock specialize in?
Jenna Ellerbrock specializes in Specialty not listed. The healthcare taxonomy code associated with this specialty is 224Z00000X.
Where does Jenna Ellerbrock practice?
Jenna Ellerbrock practices in Archbold, OH 43502-8404.
When was Jenna Ellerbrock's NPI issued?
Jenna Ellerbrock's NPI was issued on August 8, 2016.
What is Jenna Ellerbrock's provider type?
Jenna Ellerbrock is registered as an Individual Provider under CMS NPI Type 1.