Tammy Sue Ellwein, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

013 Issued in SD

Practice address

4513 S Prince of Peace PL
Sioux Falls, SD 57103-5830

Phone

(605) 322-5665

Fax

(605) 322-5698

NPI assigned

Sep 25, 2018

Last updated

Sep 25, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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": "1537833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537833600000",
    "number": "1164907275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4513 S PRINCE OF PEACE PL",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571035830",
            "telephone_number": "605-322-5665",
            "fax_number": "605-322-5698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4513 S PRINCE OF PEACE PL",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571035830",
            "telephone_number": "605-322-5665",
            "fax_number": "605-322-5698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLWEIN",
        "first_name": "TAMMY",
        "middle_name": "SUE",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-25",
        "last_updated": "2018-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "SD",
            "license": "013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Beth Ellis, CRNA
• Madeline Ellison
• Lauren Ellwein
• Marc H Ellwein, PA-C
• Ryan Ellwein, OD
• Trevor Allan Ellwein, RRT
• Melissa Marie Elrod-Miller
• Rachel Elsey, PHARM.D.
• Ashraf A Elshami, M.D.
• David Lee Elson, M.D.

• Physical Therapy Assistant in Sioux Falls, SD
• Providers in Sioux Falls, SD by specialty
• Physical Therapy Assistant in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2018; 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.