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

Miss. Lacie Taylor Ellithorpe, OTD

Individual provider Occupational Therapist · NPI 1720627730

Miss. Lacie Taylor Ellithorpe, OTD is an Occupational Therapist in Clearwater, Florida. Licensed in Florida. Registered with an NPI since 2019.

Licensed in
FL
In the registry since
2019
Specialties on file
2
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

4902 Creekside Dr Ste A
Clearwater, FL 33760-4033
Phone: (727) 592-9100
Fax: (727) 592-9109
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence OT23659 (FL)
Occupational Therapist Taxonomy 225X00000X (FL)

Record details

NPI number1720627730
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTD
Sole proprietorNo
NPI enumeratedDecember 23, 2019
Last updated in NPPESNovember 11, 2022
Certification dateOctober 31, 2022

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