Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. THEODORE R. ELLIS, P.T.
Active Sole ProprietorMR. THEODORE R. ELLIS, P.T. is a Physical Therapy Assistant healthcare provider located in WAYNE, Pennsylvania. NPI 1275616880 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · WAYNE, PA
Registration Details
- NPI Number
- 1275616880
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 24, 2006 (19.778727901243 yrs)
- Last Updated
- Jun 30, 2010
- License
-
PT008710E (PA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
150 STRAFFORD AVESUITE 230WAYNE, PA, 190873114Browse PA providers · Browse ZIP 19087
- Phone
- 6109716969
- Fax
- 6109719444
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in WAYNE, PA
| Name | Credential | NPI |
|---|---|---|
| MR. CHARAN TONY CHADHA | MPT | 1053312991 |
| MRS. STEPHANIE LYNN SPOSATO | MPT | 1922009877 |
| MRS. DANIELLE ILLFELDER | PT, DPT, MSPT | 1063401529 |
| ERICA FOUNDS | PT | 1518922434 |
| ZACHARY PAUL BENEVIDES | MPT | 1881652113 |
| MARK BERSHEIM | MSPT | 1700844487 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.