Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1750512117 Individual Practitioner Female Practitioner

Kellie Sue Ebbole , COTA

Specialist • Orlando, FL

Professional Overview & Biography Verified Profile Summary

Kellie Ebbole, COTA is a registered healthcare professional specializing in Specialist in Orlando, FL. Practice services are available at 3305 S ORANGE AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3305 S Orange Ave

Orlando, FL 328066125

Telephone 4078523300
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Orlando, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 40.0 Yrs
State Avg: 37.8 Yrs
Regional Practice Density
91 Specialists

Practicing in Orlando, FL (3036 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Sarieni Vasquez , COTA

Occupational Therapy Assistant

NPI 1003551623

Certified Occupational Therapy Assistant

Mabel Otero-Cabiya

Speech-Language Pathologist

NPI 1013339746
Adonis Magras

Physical Therapist

NPI 1013533827
Kiara Miranda

Occupational Therapy Assistant

NPI 1043018070
Ainsley Harker

Specialist/Technologist - Speech-Language Assistant

NPI 1043195902
Angela Briddell , OTR, L

Occupational Therapist

NPI 1043366206

Occupational Therapist Registered, L

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active August 04, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location August 04, 2009

Registered at 3305 S ORANGE AVE, ORLANDO, FL 328066125 (Tel: 4078523300)

📍
Updated Business Mailing Address August 04, 2009

Registered at 654 ASCOT CIR, ORLANDO, FL 328253215 (Tel: 7574344899)

👤
Provider Name / Credentials Updated August 04, 2009

Recorded as KELLIE EBBOLE, COTA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 04, 2009

Specialist

🟢
Initial NPI Registration & Enumeration August 04, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1750512117
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 04, 2009
Last Update: August 04, 2009
Sole Proprietor: No

Mailing Address

654 Ascot Cir

Orlando, FL 328253215

Phone: 7574344899

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.