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

Kimyetta Ellis

Individual provider Occupational Therapy Assistant · NPI 1538630181

Kimyetta Ellis is an Occupational Therapy Assistant in Homewood, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2018
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

18321 California Ave
Homewood, IL 60430-2812
Phone: (708) 261-6506
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 411427 (IL)

Record details

NPI number1538630181
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 7, 2018
Last updated in NPPESDecember 7, 2018
Mailing address18321 California Ave, Homewood, IL 60430-2812

Other providers in Homewood