Robert Ellis, OT/L, CHT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

0120 Issued in AZ

Practice address

6970 N Oracle Rd
Suite 130
Tucson, AZ 85704-4237

Phone

(520) 219-5825

Fax

(520) 219-5827

NPI assigned

Feb 28, 2012

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)

Enrolled

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

{
    "created_epoch": "1330387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330387200000",
    "number": "1669746269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6970 N ORACLE RD",
            "address_2": "SUITE 130",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857044237",
            "telephone_number": "520-219-5825",
            "fax_number": "520-219-5827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6970 N ORACLE RD",
            "address_2": "SUITE 130",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857044237",
            "telephone_number": "520-219-5825",
            "fax_number": "520-219-5827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "ROBERT",
        "credential": "OT/L, CHT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-02-28",
        "last_updated": "2012-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AZ",
            "license": "0120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joanne Dee Ellis, LPC
• Kristen Ellis, RDN
• Kristen Elizabeth Ellis, PHARM.D
• Marcia K Ellis, PT
• Michelle Andree Ellis, PHD
• Yaara Geva Ellis
• Isabella Rae Ellwanger
• Nermin Nader Elmakawey, MD
• Joseph John Elmer, P.T.
• Diana M Elnawsany

• Occupational Therapist in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Occupational Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2012; 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.