DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MICHAEL RAYMOND ELLIS, P.T.A.

Active

MICHAEL RAYMOND ELLIS, P.T.A. is a Occupational Therapist healthcare provider located in STATEN ISLAND, New York. NPI 1275713273 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · STATEN ISLAND, NY

Registration Details

NPI Number
1275713273
Provider Type
Individual
Gender
Male
NPI Issued
Nov 7, 2007 (18.72296284315 yrs)
Last Updated
Nov 7, 2007
License
003487-1 (NY)

Practice Information

Address
1655 RICHMOND AVE
SUITE B102
STATEN ISLAND, NY, 103141570
Browse NY providers · Browse ZIP 10314
Phone
7183703500
Fax
7183709724
Primary Specialty
Occupational Therapist
225200000X

Other Occupational Therapist Providers in STATEN ISLAND, NY

Name Credential NPI
MR. JOSEPH GERALD BRANDT SR. PTA 1194844993
MR. DAVID GARZANITI PTA 1508185844
MS. NICOLE ELIZABETH ELKINS PTA 1134432461
MR. MAXIMIANO RALLON PTA 1083928097
JOANNA KANIA PTA 1841505534
MRS. KATRINA MICHELLE GREEN PTA 1154638856
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.