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

Katheryne Mae Ellis, OTR/L

Individual provider Occupational Therapist · NPI 1376193482

Katheryne Mae Ellis, OTR/L is an Occupational Therapist in Bloomfield, New York. Licensed in New York and Vermont. Registered with an NPI since 2019.

Licensed in
NY, VT
In the registry since
2019
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

2635 Rabbit Run
Bloomfield, NY 14469-9550
Phone: (585) 749-6827
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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 023920 (NY)
Occupational Therapist Taxonomy 225X00000X · Licence 072.0134090 (VT)

Record details

NPI number1376193482
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR/L
Sole proprietorNo
NPI enumeratedSeptember 19, 2019
Last updated in NPPESSeptember 19, 2019

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