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

Ellie Ralston Traeger, OTD

Individual provider Occupational Therapist · NPI 1861366049

Ellie Ralston Traeger, OTD is an Occupational Therapist in Private Practice in Fayetteville, Arkansas. Qualified in 2025, 1 year ago. Practices with University of Arkansas for Medical Sciences, a 1,144-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arkansas.

Years since qualifying
1
Licensed in
AR
In the registry since
2025
What do these letters mean?
OTD — Doctor of Occupational Therapy
The doctoral degree in occupational therapy.

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Practice location Address checks out

201 W Van Asche Loop
Fayetteville, AR 72703-4996
Phone: (479) 966-4491
Fax: (479) 966-4311
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 609 Sw 8th St, Bentonville, AR 72712-7886 — (479) 966-4491

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence OTR4125 (AR)

Record details

NPI number1861366049
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTD
Sole proprietorNo
NPI enumeratedOctober 1, 2025
Last updated in NPPESOctober 8, 2025
Certification dateOctober 8, 2025

Medicare enrollment

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

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice University Of Arkansas For Medical Sciences — 1144 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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