Joelle Kaelynn Ellis, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

21225 Issued in OR

Practice address

5035 NE Elam Young Pkwy Ste 500
Hillsboro, OR 97124-6473

Phone

(503) 844-4325

NPI assigned

Aug 18, 2021

Last updated

Aug 18, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• PJG Enterprises, Inc

  dba Hillsboro Wellness

  • Acupuncturist
  • Hillsboro, OR
  • NPI 1558719153

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1629244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629244800000",
    "number": "1205502317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10926 SW CELESTE LN APT 406",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972257111",
            "telephone_number": "541-654-6984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5035 NE ELAM YOUNG PKWY STE 500",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971246473",
            "telephone_number": "503-844-4325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "JOELLE",
        "middle_name": "KAELYNN",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-18",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "21225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jillian Elisberg
• Ellc Enterprises, LLC (RoseSprings Center)
• Laurie Morrow Ellett, LCSW, CADCII
• Jessica Elliott, CSWA
• Taylor Elliott
• Jules B Ellis
• Michael Ellis
• Alice Elizabeth Ellison, P.T.
• Naeema Elmi, MD
• Nehad Elrody, RPH

• Massage Therapist in Hillsboro, OR
• Providers in Hillsboro, OR by specialty
• Massage Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2021; 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.