ELLIE DOUGLASS
NPI 1396509634
Occupational Therapist in Platteville, WI

Active since February 07, 2024Accepts Medicare Assignment
1400 EASTSIDE RD, PLATTEVILLE, WI 53818(608) 348-2331 Get Directions Write a Review

NPPES record last updated: April 1, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 1, 2025, Mar 18, 2025, Feb 7, 2024 (3 updates tracked since 2024).

About Ellie Douglass NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELLIE DOUGLASS (NPI 1396509634) is an individual occupational therapist in Platteville, Wisconsin, licensed in Wisconsin (8840-26) and active in the NPI registry since February 2024. She is affiliated with Southwest Health Center, maintains a secondary practice location in Dubuque, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1396509634
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameELLIE DOUGLASS
Location Address1400 EASTSIDE RDPlatteville, WI 53818-9800
Mailing Address1400 Eastside RdPlatteville, WI 53818-9800 · (608) 348-2331
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateFebruary 7, 2024
Last NPPES UpdateApril 1, 20253 updates tracked since enumeration
NPPES CertifiedApril 1, 2025
✔ NPI 1396509634 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225X00000X
License✔ Licensed in WI · 8840-26
Definition
An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.
1400 EASTSIDE RD, Platteville, WI 53818

Other Names 1

Former Name (1)Ellie Spillane

Secondary Practice Location 1

Location 14135 Pennsylvania AveDubuque, IA 52002-2678 · Phone (563) 583-4003

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ellie Douglass is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5092239731
PECOS Enrollment IDI20250403002635

Medicare Billing Reassignment

Medicare enrollment records show Ellie Douglass reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Psychiatric Unit
1400 EASTSIDE RD
Platteville, WI 53818
  • Reassigned Medicare billing, Wisconsin enrollment
  • 175 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Southwest Health Center

Critical Access Hospitals · Platteville, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521354
Location1400 East Side RdPlatteville, WI 53818 · Grant County
Emergency services

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Surgery
1400 EASTSIDE RD
PLATTEVILLE, WI 53818
Social Worker (Clinical)
1400 EASTSIDE RD
PLATTEVILLE, WI 53818
Pharmacy (Long Term Care Pharmacy)
1400 EASTSIDE RD
PLATTEVILLE, WI 53818
Occupational Therapist
1400 EASTSIDE RD
PLATTEVILLE, WI 53818
Occupational Therapist
1400 EASTSIDE RD
PLATTEVILLE, WI 53818
Physical Therapist
1400 EASTSIDE RD
PLATTEVILLE, WI 53818
Non-Pharmacy Dispensing Site
1400 EASTSIDE RD
PLATTEVILLE, WI 53818
Physical Therapist
1400 EASTSIDE RD
PLATTEVILLE, WI 53818

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ellie Douglass's NPI number?

The NPI number for Ellie Douglass is 1396509634. It was assigned to this individual provider in the NPPES registry on February 7, 2024. The provider is also known as Ellie Spillane.

Where is Ellie Douglass located?

Ellie Douglass practices at 1400 Eastside Rd, Platteville, WI 53818. The listed phone number is (608) 348-2331.

What is Ellie Douglass's specialty?

The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.

Is Ellie Douglass enrolled in Medicare?

Yes. Ellie Douglass is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Ellie Douglass's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ellie Douglass reassigns Medicare benefits to Southwest Health Center, Inc. (Platteville, WI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ellie Douglass's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ellie Douglass accept?

Health plans from Quartz list Ellie Douglass as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Ellie Douglass affiliated with any hospitals?

According to CMS data, Ellie Douglass is affiliated with Southwest Health Center.

When was this NPI record last updated?

The NPPES record for Ellie Douglass was last updated on April 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.