Renee T. Ellis, LMP

Primary specialty

MechanotherapistTaxonomy code 172M00000X

License

MA00023401 Issued in WA

Practice address

13038 26TH Ave S
Seatac, WA 98168-3014

Phone

(206) 850-2378

NPI assigned

Oct 29, 2008

Last updated

Oct 29, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1225238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225238400000",
    "number": "1083867436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13038 26TH AVE S",
            "city": "SEATAC",
            "state": "WA",
            "postal_code": "981683014",
            "telephone_number": "206-850-2378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13038 26TH AVE S",
            "city": "SEATAC",
            "state": "WA",
            "postal_code": "981683014",
            "telephone_number": "206-850-2378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "RENEE",
        "middle_name": "T.",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-29",
        "last_updated": "2008-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172M00000X",
            "taxonomy_group": "",
            "desc": "Mechanotherapist",
            "state": "WA",
            "license": "MA00023401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Don Anselm Davis, M.D.
• Nikhil Desai, D.O.
• Dream Destiny PC
• Maria Luisa Dy, MD
• Mohamed Elameen
• Lindsey Engeset, MA, CCC-A
• Sigal Erez, SLP-CCC
• Katharine Ersing, ND
• Abigail G Eshete
• Sara Tilahun Eshete, LPN

• Mechanotherapist in Seatac, WA
• Providers in Seatac, WA by specialty
• Mechanotherapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.