Active NPI
Ellen Cullen OT, PLLC
- Pediatric Occupational Therapist
- Rochester, NY
National Provider Identifier
1184453326
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- Legal business name
- ELLEN CULLEN OT, PLLC
- Practice address
- 3380 Monroe Ave Ste 105
Rochester, NY 14618-4726 - Phone
- (585) 645-7364
- NPI assigned
- Jul 27, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ellen Cullen, OTD, MS, OTR/L, BCP
- Title
- Occupational Therapist
- Phone
- (585) 645-7364
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | Primary |
Addresses
Primary practice location
3380 Monroe Ave Ste 105
Rochester, NY 14618-4726
Mailing address
142 Highledge Dr
Penfield, NY 14526-2449
Phone (585) 645-7364
National Provider Directory
National Provider DirectoryLocations
3380 Monroe Ave
Ste 105
Rochester, NY 14618
Phone (585) 645-7364
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1722038400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1722038400000",
"number": "1184453326",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "142 HIGHLEDGE DR",
"city": "PENFIELD",
"state": "NY",
"postal_code": "145262449",
"telephone_number": "585-645-7364"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3380 MONROE AVE STE 105",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146184726",
"telephone_number": "585-645-7364"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELLEN CULLEN OT, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-07-27",
"last_updated": "2024-07-27",
"certification_date": "2024-07-27",
"status": "A",
"authorized_official_last_name": "CULLEN",
"authorized_official_first_name": "ELLEN",
"authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
"authorized_official_telephone_number": "585-645-7364",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "OTD, MS, OTR/L, BCP"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Occupational Therapist, Pediatrics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.