Active NPI
Tommy Antwan Ellerbe, OTR / L
- Occupational Therapist
- Rancho Palos Verdes, CA
National Provider Identifier
1306402615
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 29244
- Practice address
- 28924 S Western Ave Ste 105
Rancho Palos Verdes, CA 90275-0823 - Phone
- (424) 210-8583
- NPI assigned
- May 13, 2019
- Reactivated
- Aug 31, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 4758 | CA | |
| Occupational Therapist | 225X00000X | 29244 | CA | Primary |
Addresses
Primary practice location
28924 S Western Ave Ste 105
Rancho Palos Verdes, CA 90275-0823
Mailing address
28924 S Western Ave Ste 105
Rancho Palos Verdes, CA 90275-0823
Phone (424) 210-8583
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788134400000",
"number": "1306402615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28924 S WESTERN AVE STE 105",
"city": "RANCHO PALOS VERDES",
"state": "CA",
"postal_code": "902750823",
"telephone_number": "424-210-8583"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28924 S WESTERN AVE STE 105",
"city": "RANCHO PALOS VERDES",
"state": "CA",
"postal_code": "902750823",
"telephone_number": "424-210-8583"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELLERBE",
"first_name": "TOMMY",
"middle_name": "ANTWAN",
"credential": "OTR / L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-05-13",
"last_updated": "2026-08-31",
"certification_date": "2026-08-31",
"deactivation_date": "2021-11-06",
"reactivation_date": "2026-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "CA",
"license": "4758",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "29244",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rancho Palos Verdes, CA
- Susan G. Dragoo, RDHAP
- David Bruce Draper, MFT, PSYD
- Dynamic Physical Medicine Inc.
- Marie Louise Earvolino-Ramirez, NP
- Elite Senior Services, Inc. (The Senior Shuttle)
- Emerald Isle Assisted Living, Inc.
- Eric Lai Chiropractic Corporation
- Timothy J Esposito Sr., D.C.
- Estelita Garcia Torris, DMD Inc
- Excel Physical Therapy Associates Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.