Individual provider Active NPI

Ella Khan, DPT

  • Physical Therapist
  • Ocala, FL
National Provider Identifier
1093484693
Registry record updated Sep 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
37688 Issued in FL
Practice address
4762 SW 1St Ave
Ocala, FL 34471-8448
Phone
(352) 615-6196
NPI assigned
Sep 8, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 37688 FL Primary

Addresses

Primary practice location

4762 SW 1St Ave
Ocala, FL 34471-8448

Mailing address

4762 SW 1St Ave
Ocala, FL 34471-8448
Phone (352) 615-6196

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240612001731 DC Practitioner - Physical Therapist in Private Practice 0941671432 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
37688FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Neuromuscular and Massage Rehabilitation LLC Physical Therapist CurrentSince Nov 6, 2025 Accepting new patients
MDRS Spine & Sport, Inc Physical Therapist PastSince Oct 3, 2022 Accepting new patients

Locations

1712 Eye St NW
Lowr
Washington, DC 20006
Phone (202) 257-1363

1717 K St NW
Ste 900
Washington, DC 20006
Phone (916) 232-3047

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1631059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631059200000",
    "number": "1093484693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4762 SW 1ST AVE",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344718448",
            "telephone_number": "352-615-6196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4762 SW 1ST AVE",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344718448",
            "telephone_number": "352-615-6196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "ELLA",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-08",
        "last_updated": "2021-09-08",
        "certification_date": "2021-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "37688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.