MEDICARE: ELLEN SHEEDY OTR/L

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist

General Provider Information

NPI Number	:	1679199301
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELLEN SHEEDY OTR/L

Provider Business Mailing Address
First Line	:	1515 BETHEL RD STE 301
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43220-2056
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1515 BETHEL RD STE 301
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43220-2056
Country	:	US
Telephone Number	:	740-953-1184
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/18/2020
Last Update Date	:	02/17/2026

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Directions to “ ELLEN SHEEDY OTR/L” Practice Location

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