Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacob Brannon Ellis

Individual provider Occupational Therapy Assistant · NPI 1306358270

Jacob Brannon Ellis is an Occupational Therapy Assistant in Madison, Alabama. Practices as a sole proprietor. Licensed in Alabama.

Licensed in
AL
In the registry since
2017

Practice location Address checks out

97 Hughes Rd Ste H
Madison, AL 35758-3401
Phone: (256) 883-7338
Fax: (256) 883-7135
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 4316 (AL)

Record details

NPI number1306358270
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 31, 2017
Last updated in NPPESOctober 31, 2017
Mailing address97 Hughes Rd Ste H, Madison, AL 35758-3401

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