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

Individual provider Pediatric Occupational Therapist · NPI 1679859094

Mr. Nathan Ellis, OTR is a Pediatric Occupational Therapist in Canton, New York. Licensed in New York. Registered with an NPI since 2011.

Licensed in
NY
In the registry since
2011
What do these letters mean?
OTR — Occupational Therapist, Registered
A nationally registered occupational therapist.

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Practice location Address checks out

139 Outer State St Rd
Canton, NY 13617
Phone: (315) 386-4504
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Occupational Therapist (primary) Taxonomy 225XP0200X · Licence 010670-1 (NY)

Record details

NPI number1679859094
Entity typeIndividual (Type 1)
GenderMale
Credentials OTR
Sole proprietorNo
NPI enumeratedOctober 31, 2011
Last updated in NPPESOctober 31, 2011

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