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

Eustacia Ellison, OTR/L

Individual provider Occupational Therapist · NPI 1528204377

Eustacia Ellison, OTR/L is an Occupational Therapist in Johnson City, New York. Registered with an NPI since 2008.

In the registry since
2008
Specialties on file
2
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

33-57 Harrison St Picciano 3
Johnson City, NY 13790-2107
Phone: (607) 763-5200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X
Driving and Community Mobility Occupational Therapist Taxonomy 225XR0403X

Record details

NPI number1528204377
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR/L
Sole proprietorNo
NPI enumeratedDecember 29, 2008
Last updated in NPPESDecember 29, 2008

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