Active NPI
Elizabeth C Ennis, PT, PCS
- Pediatric Physical Therapist
- Jacksonville, FL
National Provider Identifier
1174595789
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 38746
- Practice address
- 12638 Chapeltown Cir W
Jacksonville, FL 32225-5303 - Phone
- (502) 296-2430
- NPI assigned
- Feb 7, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 38746 | FL | Primary |
Addresses
Primary practice location
12638 Chapeltown Cir W
Jacksonville, FL 32225-5303
Mailing address
12638 Chapeltown Cir W
Jacksonville, FL 32225-5303
Phone (502) 296-2430
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38746 | FL | MD | Pediatric Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| All About Families, PLLC | Pediatrics | Past | Accepting new patients |
Organizations & group practices 1
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": "1139270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761609600000",
"number": "1174595789",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12638 CHAPELTOWN CIR W",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322255303",
"telephone_number": "502-296-2430"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12638 CHAPELTOWN CIR W",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322255303",
"telephone_number": "502-296-2430"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENNIS",
"first_name": "ELIZABETH",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "PT, PCS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-07",
"last_updated": "2025-10-28",
"certification_date": "2025-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "FL",
"license": "38746",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.