Active NPI
Dana Ellison, PTA
- Physical Therapist
- Carmel, IN
National Provider Identifier
1114848876
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 06003051A
- Practice address
- 12188B N Meridian St Ste 230
Carmel, IN 46032-4939 - Phone
- (317) 705-4640
- Fax
- (317) 705-4649
- NPI assigned
- Jul 21, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 06003051A | IN | Primary |
| Physical Therapy Assistant | 225200000X | 06003051 | IN |
Addresses
Primary practice location
12188B N Meridian St Ste 230
Carmel, IN 46032-4939
Mailing address
PO Box 781076
Detroit, MI 48278-1076
Phone (317) 528-4800
Other practice location 1
8051 S Emerson Ave Ste 100
Indianapolis, IN 46237-8631
Phone (317) 528-8111
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1784592000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786406400000",
"number": "1114848876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 781076",
"city": "DETROIT",
"state": "MI",
"postal_code": "482781076",
"telephone_number": "317-528-4800",
"fax_number": "317-865-1479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12188B N MERIDIAN ST STE 230",
"city": "CARMEL",
"state": "IN",
"postal_code": "460324939",
"telephone_number": "317-705-4640",
"fax_number": "317-705-4649"
}
],
"practiceLocations": [
{
"address_1": "8051 S Emerson Ave Ste 100",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462378631",
"country_code": "US",
"telephone_number": "317-528-8111",
"fax_number": "317-528-8065",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ELLISON",
"first_name": "DANA",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-07-21",
"last_updated": "2026-08-11",
"certification_date": "2026-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "06003051A",
"primary": true
},
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "IN",
"license": "06003051",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carmel, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.