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

Ellyn Medrano, COTA/L

Individual provider Contractor · NPI 1487164125

Ellyn Medrano, COTA/L is a Contractor in Albuquerque, New Mexico. Licensed in New Mexico. Registered with an NPI since 2017.

Licensed in
NM
In the registry since
2017
What do these letters mean?
COTA/L — Certified Occupational Therapy Assistant, Licensed
An occupational therapy assistant who is both certified and state licensed.

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Practice location Address checks out

8016 Petroglyph Ave NW
Albuquerque, NM 87120-6558
Phone: (505) 228-5050
Fax: (505) 214-5009
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Contractor (primary) Taxonomy 171W00000X · Licence 3813 (NM)

Record details

NPI number1487164125
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTA/L
Sole proprietorNo
NPI enumeratedOctober 9, 2017
Last updated in NPPESOctober 9, 2017

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