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

Nicholas Ellis

Individual provider Recreation Therapist · NPI 1689387375

Nicholas Ellis is a Recreation Therapist in Pinellas Park, Florida. Practices as a sole proprietor. Registered with an NPI since 2022.

In the registry since
2022
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Practice location Address checks out

8701 64th St N
Pinellas Park, FL 33782-4704
Phone: (727) 204-7911
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Recreation Therapist (primary) Taxonomy 225800000X

Record details

NPI number1689387375
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 28, 2022
Last updated in NPPESDecember 28, 2022
Certification dateDecember 28, 2022
Mailing address8701 64th St N, Pinellas Park, FL 33782-4704