Octavia Ellison, CRC, CTRS
NPI 1073180808 · Recreation Therapist · Lake City, FL
Octavia Ellison, CRC, CTRS is a Recreation Therapist provider in Lake City, FL (NPI 1073180808).
Provider details
- NPI number
- 1073180808
- Entity type
- Individual
- Primary specialty
- Recreation TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- CRC, CTRS
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2021-06-09
- Last updated
- 2021-06-09
- Certified
- 2021-06-09
Frequently asked questions
- What is Octavia Ellison's NPI number?
- Octavia Ellison's National Provider Identifier (NPI) is 1073180808, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Octavia Ellison's specialty?
- Octavia Ellison is listed in the NPPES registry with a primary specialty of Recreation Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Octavia Ellison located?
- Octavia Ellison's practice location on file with NPPES is 619 S Marion Ave, Lake City, FL 32025-5808.
- What is Octavia Ellison's phone number?
- The practice phone number listed in the NPPES registry for Octavia Ellison is (386) 755-3016.
- Is Octavia Ellison's NPI active?
- Yes — Octavia Ellison's NPI (1073180808) is active in the NPPES registry as of the last update on 2021-06-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.