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

Individual provider Occupational Therapist · NPI 1417910548

Mark R Jellous, OT is an Occupational Therapist in Greensboro, North Carolina. Licensed in North Carolina. Registered with an NPI since 2006.

Licensed in
NC
In the registry since
2006
What do these letters mean?
OT — Occupational Therapist
Helps people regain the skills needed for daily living and work.

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Practice location Address checks out

1401 Benjamin Pkwy
Greensboro, NC 27408-4518
Phone: (336) 545-5000
Fax: (336) 545-3566
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 4781 (NC)

Record details

NPI number1417910548
Entity typeIndividual (Type 1)
GenderMale
Credentials OT
Sole proprietorNo
NPI enumeratedApril 10, 2006
Last updated in NPPESAugust 3, 2007

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