Daniel John Ellis

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT00003242 Issued in WA

Practice address

1710 Plaza Way
Walla Walla, WA 99362-4362

Phone

(509) 529-4218

Fax

(509) 522-1729

NPI assigned

Jan 29, 2022

Last updated

Jan 29, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1643414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643414400000",
    "number": "1437802592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "942 SE SENTRY DR",
            "city": "COLLEGE PLACE",
            "state": "WA",
            "postal_code": "993244001",
            "telephone_number": "509-525-1514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 PLAZA WAY",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993624362",
            "telephone_number": "509-529-4218",
            "fax_number": "509-522-1729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "DANIEL",
        "middle_name": "JOHN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-01-29",
        "last_updated": "2022-01-29",
        "certification_date": "2022-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "OT00003242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew S Edwards, MD
• Herbert C Edwards, DDS
• James J Edwards, MD
• Carmen Ehlers, MD
• Guy Einig, ARNP
• Dale Anthony Elmenhurst, DC
• Daniel Dean Elmenhurst, DC
• Paul Anthony Elmenhurst, DC
• Emerichip Walla Walla LLC (Brookdale Walla Walla)
• Emeritus Corporation (Brookdale Walla Walla)

• Occupational Therapist in Walla Walla, WA
• Providers in Walla Walla, WA by specialty
• Occupational Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2022; 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.