Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Austin Ellis, OTR/L

Individual provider Occupational Therapist · NPI 1114701075

Austin Ellis, OTR/L is an Occupational Therapist in Private Practice in Fargo, North Dakota. Qualified in 2023, 3 years ago. Practices with Total Balance Physical Therapy and Fitness, LLC, a 35-clinician group and accepts Medicare assignment. Licensed in North Dakota.

Years since qualifying
3
Licensed in
ND
In the registry since
2023
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

1461 Broadway N
Fargo, ND 58102-2622
Phone: (701) 293-6037
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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 2041 (ND)

Record details

NPI number1114701075
Entity typeIndividual (Type 1)
GenderMale
Credentials OTR/L
Sole proprietorNo
NPI enumeratedAugust 22, 2023
Last updated in NPPESAugust 22, 2023
Certification dateAugust 22, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Total Balance Physical Therapy And Fitness, Llc — 35 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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