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

Nicholas Robert Ellis

Individual provider Occupational Therapist · NPI 1639501356

Nicholas Robert Ellis is an Occupational Therapist in Philadelphia, Pennsylvania. Practices as a sole proprietor. Registered with an NPI since 2013.

In the registry since
2013

Practice location Address checks out

2509 S 4th St
Philadelphia, PA 19148-4712
Phone: (215) 271-1080
Show map & directions

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

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X

Record details

NPI number1639501356
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 5, 2013
Last updated in NPPESAugust 5, 2013

Other providers in Philadelphia