Christopher S Ellis, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT28384 Issued in FL

Practice address

1110 Pine Ridge Rd Ste 204
Naples, FL 34108-8927

Phone

(239) 919-7139

NPI assigned

Aug 7, 2013

Sex

Male

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)

Enrolled

Practice roles

Locations

Networks

• Freedom Health HMO Network
• Optimum HealthCare HMO Network

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.

• Dynamic Physio Therapy Services, LLC

  • Physical Therapy Clinic/Center
  • Naples, FL
  • NPI 1336774967
  NPD Authorized official
• Synergy Chiropractic and Health Center PA

  • Chiropractor
  • Naples, FL
  • NPI 1396002952
  NPD (past)

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

{
    "created_epoch": "1375833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567555200000",
    "number": "1194157552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 PINE RIDGE RD STE 204",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341088927",
            "telephone_number": "239-919-7139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 PINE RIDGE RD STE 204",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341088927",
            "telephone_number": "239-919-7139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "CHRISTOPHER",
        "middle_name": "S",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-07",
        "last_updated": "2019-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT28384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ellie Mental Health of Naples at 75 Vineyards Blvd
• Ian Robert Elliott
• Patricia Darlene Elliott, M.D.
• Tunisia Ellis Penta
• Candace Ellis, O.D.
• Emily Michelle Ellis, ARNP
• Lisa Marie Ellsworth, RN
• Hany Medhat Badie Mohamed Elmahdy, M.D.
• Eloquent Eyes LLC
• Wanda Elozegui Alfonso, M.D

• Physical Therapist in Naples, FL
• Providers in Naples, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2019; 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.