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Active NPI 1962029389 Individual Practitioner Female Practitioner

Devonda Y Elliott

Recreation Therapist • Jackson, MS

Professional Overview & Biography Verified Profile Summary

Devonda Elliott is a registered healthcare professional specializing in Recreation Therapist in Jackson, MS. Practice services are available at 1500 E WOODROW WILSON AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1500 E Woodrow Wilson Ave

Jackson, MS 392165116

Telephone 6013644471
Associated Practice Facility / Clinic
🏢 Jackson Vamc Facility NPI 1932167756

Specialty Benchmarks & Practice Insights

Comparative analytics for Recreation Therapist in Jackson, MS

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
12 Specialists

Practicing in Jackson, MS (34 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

CMS Verified: 2020-07-01
Recreation Therapist Primary Specialty

NUCC Taxonomy Code: 225800000X

A recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient.

Recreation Therapist

NUCC Taxonomy Code: 225800000X

State License MS 53246

A recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient.

Practice Associates & Co-Workers

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

1 Associated Practitioners
Dr. Tawfiq Khansur , MD

Internal Medicine - Hematology & Oncology

NPI 1013940147

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events
✅
NPI Profile Active July 01, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location July 01, 2020

Registered at 1500 E WOODROW WILSON AVE, JACKSON, MS 392165116 (Tel: 6013644471)

📍
Updated Business Mailing Address July 01, 2020

Registered at 1500 E WOODROW WILSON AVE, JACKSON, MS 392165116 (Tel: 6013644471)

👤
Provider Name / Credentials Updated July 01, 2020

Recorded as DEVONDA ELLIOTT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 01, 2020

Recreation Therapist

🟢
Initial NPI Registration & Enumeration July 01, 2020

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: 1962029389
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 01, 2020
Last Update: July 01, 2020
Sole Proprietor: Yes
Update or Correct Profile

Mailing Address

1500 E Woodrow Wilson Ave

Jackson, MS 392165116

Phone: 6013644471

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.