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

RALPH ELLIS IV

Active Sole Proprietor

RALPH ELLIS IV is a Occupational Therapist healthcare provider located in FORT WALTON BEACH, Florida. NPI 1699628750 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · FORT WALTON BEACH, FL

Registration Details

NPI Number
1699628750
Provider Type
Individual
Gender
Male
NPI Issued
Feb 18, 2026 (0.45466606602404 yrs)
Last Updated
Feb 18, 2026
License
PTA34467 (FL)
Sole Proprietor
Yes

Practice Information

Address
1020 TITAN CT STE 102
FORT WALTON BEACH, FL, 325476638
Browse FL providers · Browse ZIP 32547
Phone
8508637581
Primary Specialty
Occupational Therapist
225200000X

Other Occupational Therapist Providers in FORT WALTON BEACH, FL

Name Credential NPI
ALICE KAY GROHOSKE PTA 1619148111
PHILLIP Z OSTROWSKI PTA 1710211750
TRACI JOHNSON PTA 1750610762
MRS. SUSAN THERESA WARDROP P.T.A. 1821390642
MISS CYNTHIA LEIGH TISDALE PTA 1275893463
TERESA L FELSTEAD PTA 1881037638
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.