ELLEN EVERHART OTR/L
NPI 1710858618
Occupational Therapist in Blaine, MN

Active since September 15, 2025
11855 ULYSSES ST NE STE 20, BLAINE, MN 55434(763) 767-3140 Get Directions Write a Review

NPPES record last updated: September 15, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ellen Everhart Otr/l NPPES

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

ELLEN EVERHART OTR/L (NPI 1710858618) is an individual occupational therapist in Blaine, Minnesota, licensed in Minnesota (107905) and active in the NPI registry since September 2025. She is a graduate of Other (2025).

NPPES Registry Identity

NPI1710858618
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameELLEN EVERHARTCredential: OTR/L
Location Address11855 ULYSSES ST NE STE 20Blaine, MN 55434-3949
Mailing Address11855 Ulysses St Ne Ste 20Blaine, MN 55434-3949 · (763) 767-3140
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateSeptember 15, 2025
NPPES CertifiedSeptember 15, 2025
NPI 1710858618 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225X00000X
License Licensed in MN · 107905
Definition
An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.
11855 ULYSSES ST NE STE 20, Blaine, MN 55434

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Ellen Everhart Otr/l is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8628550449
PECOS Enrollment IDI20260302003036

Other Providers at the Same Location NPPES 5

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

Occupational Therapist
11855 ULYSSES ST NE STE 20
BLAINE, MN 55434
Clinic/Center (Physical Therapy)
11855 ULYSSES ST NE STE 20
BLAINE, MN 55434
Physical Therapist
11855 ULYSSES ST NE STE 20
BLAINE, MN 55434
Physical Therapist
11855 ULYSSES ST NE STE 20
BLAINE, MN 55434
Physical Therapist
11855 ULYSSES ST NE STE 20
BLAINE, MN 55434

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 Ellen Everhart's NPI number?

The NPI number for Ellen Everhart is 1710858618. It was assigned to this individual provider in the NPPES registry on September 15, 2025.

Where is Ellen Everhart located?

Ellen Everhart practices at 11855 Ulysses St NE Ste 20, Blaine, MN 55434. The listed phone number is (763) 767-3140.

What is Ellen Everhart's specialty?

The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.

Is Ellen Everhart enrolled in Medicare?

Yes. Ellen Everhart is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ellen Everhart was last updated on September 15, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.