Ellen San

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OC019574 Issued in PA

Practice address

1511 Fisher Rd
Mechanicsburg, PA 17055-5111

Phone

(717) 516-8104

NPI assigned

Aug 12, 2025

Sex

Female

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

Enrolled in PA

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Upward RehabilitationGroup PAC ID 1850775412, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Upward Rehabilitation

  • Physical Therapy Clinic/Center
  • Mechanicsburg, PA
  • NPI 1457923039
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1754956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754956800000",
    "number": "1932085453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3821A MARKET ST",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170114328",
            "telephone_number": "717-982-7470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1511 FISHER RD",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170555111",
            "telephone_number": "717-516-8104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAN",
        "first_name": "ELLEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-12",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC019574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David J Salinger, MD
• Sam'S Club Hearing Aid Center
• Sam'S East, Inc.
• Sams Club
• Sams East Inc
• Amanpreet S. Sandhu, MD
• Mario M Sangillo, MD
• Saverio Santell
• Jayabharathy Santhanakrishna Iyer, FNP
• Abigail Rose Parungao Santos

• Occupational Therapist in Mechanicsburg, PA
• Providers in Mechanicsburg, PA by specialty
• Occupational Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.