Organization Active NPI

Ellen Cullen OT, PLLC

  • Pediatric Occupational Therapist
  • Rochester, NY
National Provider Identifier
1184453326
Registry record updated Jul 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
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

Updated by the provider on Jul 27, 2024

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, BCPNPI 1538454525
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)CodeLicenseStatePrimary
Pediatric Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.