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

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