1. Home
  2. Directory
  3. Florida
  4. Lake City
  5. Recreation Therapist
  6. NPI Profile

OCTAVIA ELLISON CRC, CTRS
NPI 1073180808
Recreation Therapist in Lake City, FL

Active since June 09, 2021
619 S MARION AVE, LAKE CITY, FL 32025(386) 755-3016 Get Directions Write a Review

NPPES record last updated: June 9, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Octavia Ellison Crc, Ctrs NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OCTAVIA ELLISON CRC, CTRS (NPI 1073180808) is an individual recreation therapist in Lake City, Florida and active in the NPI registry since June 2021.

NPPES Registry Identity

NPI1073180808
Entity TypeIndividualFemale
Primary Taxonomy225800000X
Provider Legal NameOCTAVIA ELLISONCredential: CRC, CTRS
Location Address619 S MARION AVELake City, FL 32025-5808
Mailing Address4450 Sw 32nd Rd Apt 208Gainesville, FL 32608-2081
Phone(386) 755-3016
Sole ProprietorNo
Enumeration DateJune 9, 2021
NPPES CertifiedJune 9, 2021
✔ NPI 1073180808 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRecreation TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225800000X
Definition
A recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient.
619 S MARION AVE, Lake City, FL 32025
Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. SHARON LYNEAR HAYES RN
Registered Nurse (Continuing Education/Staff Development)
619 S MARION AVE
LAKE CITY, FL 32025
Columbia County (386) 755-3016
MRS. CARMEN E. CARDONA RPH
Pharmacist
619 S MARION AVE
LAKE CITY, FL 32025
Columbia County (386) 755-3016
MR. JOHN V IRWIN RRT
Respiratory Therapist, Registered
619 S MARION AVE
LAKE CITY, FL 32025
Columbia County (386) 755-3016
MELANIE W. CLARK DPH.
Pharmacist
619 S MARION AVE
LAKE CITY, FL 32025
Columbia County (386) 755-3016
DR. SHEEL GOSWAMI
Internal Medicine
619 S MARION AVE
LAKE CITY, FL 32025
Columbia County (352) 317-7259
LAUREN DUTTON
Kinesiotherapist
619 S MARION AVE
LAKE CITY, FL 32025
Columbia County (386) 752-3016
TY AUSTIN DURAN
Kinesiotherapist
619 S MARION AVE
LAKE CITY, FL 32025
Columbia County (386) 755-3016
MRS. BRENDA J BATES CRDH
Dental Hygienist
619 S MARION AVE
LAKE CITY, FL 32025
Columbia County (386) 155-3016

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Octavia Ellison's NPI number?

The NPI number for Octavia Ellison is 1073180808. It was assigned to this individual provider in the NPPES registry on June 9, 2021.

Where is Octavia Ellison located?

Octavia Ellison practices at 619 S Marion Ave, Lake City, FL 32025. The listed phone number is (386) 755-3016.

What is Octavia Ellison's specialty?

The primary specialty registered for this NPI is Recreation Therapist with taxonomy code 225800000X.

When was this NPI record last updated?

The NPPES record for Octavia Ellison was last updated on June 9, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.