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

MS. Ellie Park, OTD

Individual provider Occupational Therapist · NPI 1083287056

MS. Ellie Park, OTD is an Occupational Therapist in Saint Louis, Missouri. Licensed in Missouri. Registered with an NPI since 2021.

Licensed in
MO
In the registry since
2021
What do these letters mean?
OTD — Doctor of Occupational Therapy
The doctoral degree in occupational therapy.

See every abbreviation used in this directory →

Practice location Address checks out

4921 Parkview Pl Ste 6F
Saint Louis, MO 63110-1032
Phone: (314) 286-1669
Fax: (314) 747-3662
Show map & directions

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

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 2020006967 (MO)

Record details

NPI number1083287056
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTD
Sole proprietorNo
NPI enumeratedJuly 19, 2021
Last updated in NPPESNovember 15, 2021
Certification dateJuly 19, 2021

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