Individual provider Active NPI

Ellen Evans Markwell, PT

  • Physical Therapist
  • Germantown, TN
National Provider Identifier
1164523684
Registry record updated Apr 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT1169 Issued in TN
Practice address
7655 Poplar Ave Ste 250
Germantown, TN 38138-3960
Phone
(901) 516-6929
Fax
(901) 516-6649
NPI assigned
Sep 26, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 0000001169 TN
Physical Therapist 225100000X PT1169 TN Primary

Addresses

Primary practice location

7655 Poplar Ave Ste 250
Germantown, TN 38138-3960

Mailing address

7655 Poplar Ave Ste 250
Germantown, TN 38138-3960
Phone (901) 516-6929

Other names 1

  • Ellen Evans Markwell Professional name

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

State licenses

LicenseStateTypeSpecialty
PT1169TNMDPhysical Therapist
0000001169TNMDPhysical Therapy Clinic/Center

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587600000000",
    "number": "1164523684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7655 POPLAR AVE STE 250",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381383960",
            "telephone_number": "901-516-6929",
            "fax_number": "901-516-6649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7655 POPLAR AVE STE 250",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381383960",
            "telephone_number": "901-516-6929",
            "fax_number": "901-516-6649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARKWELL",
        "first_name": "ELLEN",
        "middle_name": "EVANS",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2020-04-23",
        "certification_date": "2020-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "TN",
            "license": "0000001169",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "PT1169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELLEN",
            "last_name": "MARKWELL",
            "middle_name": "EVANS",
            "credential": "PT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Germantown, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2020; 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.