Ely Green, OTA/L
NPI 1174716260 · Occupational Therapy Assistant · Jackson, MS
Ely Green, OTA/L is a Occupational Therapy Assistant provider in Jackson, MS (NPI 1174716260).
Provider details
- NPI number
- 1174716260
- Entity type
- Individual
- Primary specialty
- Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- OTA/L
- Sex
- Male
- Sole proprietor
- No
- License
- TA1448 (MS)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-08-22
- Last updated
- 2007-08-22
Frequently asked questions
- What is Ely Green's NPI number?
- Ely Green's National Provider Identifier (NPI) is 1174716260, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ely Green's specialty?
- Ely Green is listed in the NPPES registry with a primary specialty of Occupational Therapy Assistant (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Ely Green located?
- Ely Green's practice location on file with NPPES is 13 Northtown Dr, Jackson, MS 39211-3047.
- What is Ely Green's phone number?
- The practice phone number listed in the NPPES registry for Ely Green is (601) 206-9195.
- Is Ely Green's NPI active?
- Yes — Ely Green's NPI (1174716260) is active in the NPPES registry as of the last update on 2007-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.