MR. NATHAN ELLIS (NPI# 1679859094) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679859094 |
| Entity Type | Individual |
| Full Name | MR. NATHAN ELLIS |
| Credential | OTR |
| Practice Address |
139 Outer State St. Rd Canton NY 13617 |
| Mailing Address |
204 High St Morristown NY 13664-3219 |
| Practice Telephone | 3153864504 |
| Mailing Telephone | 3153756383 |
| Enumeration Date | 2011-10-31 |
| Last Update Date | 2011-10-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225XP0200X |
Occupational Therapist Specialization: Pediatrics |
010670-1 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932766631 | Nathan Ellis | Behavior Technician | 1640 East Parham Road, Richmond, VA 23228 | 2019-05-29 |
| 1801457528 | Nathan Christopher Ellis | Emergency Medicine | 232 W 25th St, Erie, PA 16544-0002 | 2019-06-24 |
| 1164908257 | Nathan Ellis | Licensed Vocational Nurse | 1906 E Tyler Ave Ste G, Harlingen, TX 78550-7109 | 2018-07-12 |
| 1245639772 | Nathan Ellis | Counselor | 9845 W Roosevelt Rd, Westchester, IL 60154-2758 | 2014-08-20 |
| 1154609998 | Nathan Cody Ellis | Counselor | 2850 Industrial Way, Mountain Home, ID 83647-3960 | 2011-07-27 |
| 1467442178 | Nathan Stewart Ellis | Psychiatry & Neurology | 1 Jarrett White Rd, Tripler Amc, HI 96859-5001 | 2005-10-24 |
| Street Address |
139 OUTER STATE ST. RD |
| City | CANTON |
| State | NY |
| Zip Code | 13617 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700428802 | Meagan Elizabeth Hogan | Physician Assistant | 6119 Us Highway Route 11, Canton, NY 13617 | 2019-10-10 |
| 1982251740 | Wilma J. Blackmer | Technician | 1756 Cr 14, Canton, NY 13617 | 2019-08-26 |
| 1326525270 | Kylie Broughal | Physician Assistant | 6119 St Hwy Rt 11, St Lawrence Medical Office Complex, Canton, NY 13617 | 2018-07-24 |
| 1891299608 | Sheena Teresa Smith | Counselor | 310 State Highway 310, Suite 1, Canton, NY 13617 | 2018-03-19 |
| 1972024594 | Patrick James Sullivan | Physician Assistant | 6619 State Highway Route 11, Canton, NY 13617 | 2017-07-05 |
| 1225482763 | Howard Orthotics and Prosthetics, LLC | Prosthetic/Orthotic Supplier | 6128 Us Highway11, Canton, NY 13617 | 2016-04-21 |
| 1831534452 | Chin Hung Ho | Dermatology | 6119 State Highway Rt 11, Cph Dermotology, Canton, NY 13617 | 2013-05-09 |
| 1194061663 | Sarah Prairie | Counselor | 80 State Hwy 310, Suite 1, Canton, NY 13617 | 2013-01-02 |
| 1407139017 | Julianne Rutley | Occupational Therapist | 139 Outer State Street Rd, Canton, NY 13617 | 2011-09-21 |
| 1780967224 | Kathleen W Doyle | Occupational Therapy Assistant | 139 Outer State Street Rd., Canton, NY 13617 | 2011-09-21 |
| Find all providers in zip 13617 | ||||
| Taxonomy Code | 225XP0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| Specialization | Pediatrics |
| Occupational therapists provide services to infants, toddlers and children who have or who are at risk for developmental delays or disabilities. Occupational therapy is concerned with a child's ability to participate in daily life activities or "occupations." Occupational therapists use their unique expertise to help children with social-emotional, physical, cognitive, communication, and adaptive behavioral challenges and to help children to be prepared for and perform important learning and school-related activities and to fulfill their rule as students. Through an understanding of the impact of disability, illness, and impairment on a child's development, plan, ability to learn new skills, and overall occupational performance, occupational therapists design interventions that promote healthy development, establish needed skills, and/or modify environments, all in support of participation in daily activities. |
Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: new] Additional Resources: The American Occupational Therapy Association (AOTA) does offer voluntary board certification for a Pediatric Occupational Therapist if the applicant meets the following requirements:
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063825370 | Anton Zopel X | Occupational Therapist | 2100 38th St. Nw, Stark County Esc, Canton, OH 44709 | 2014-06-04 |
| 1255609160 | Danielle Elizabeth Terry | Occupational Therapist | 709 Crescent Cir, Canton, GA 30115-4772 | 2011-12-06 |
| 1629532247 | Megan Lorraine Mcphilemy | Occupational Therapist | 605 Neponset St, Canton, MA 02021-1981 | 2019-01-28 |
| 1508377359 | Gina Khalid | Occupational Therapist | 340 Turnpike St, Canton, MA 02021-2700 | 2017-10-19 |
| 1740687425 | Debra Shaw | Occupational Therapist | 3057 Cleveland Ave Sw, Canton, OH 44707-3625 | 2014-11-25 |
| 1801213392 | Sarah Kolic | Occupational Therapist | 2100 38th St Nw, Canton, OH 44709-2312 | 2014-03-24 |
| 1407272347 | Kali Michelle Nissen | Occupational Therapist | 5156 Whipple Ave Nw, Canton, OH 44718-2663 | 2014-03-17 |
| 1891035580 | Andrea Lindsay Lewis | Occupational Therapist | 4280 Hickory Flat Hwy, Ste 108, Canton, GA 30115-6633 | 2013-02-18 |
| 1174868954 | Marie Joan Degirolamo | Occupational Therapist | 500 Chapman St, Canton, MA 02021-2093 | 2012-12-04 |
| 1831475318 | Paten Lane Willis | Occupational Therapist | 310 Paper Trail Way, Ste 302, Canton, GA 30115-5203 | 2011-10-27 |
| Find all providers in CANTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.