Active NPI
Rachel Lynn Annette Ellis, PHYSICAL THERAPIST
- Physical Therapist
- Orlando, FL
National Provider Identifier
1205976453
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT40347
- Practice address
- 4401 E Colonial Dr Ste 107
Orlando, FL 32803-5200 - Phone
- (407) 898-5060
- Fax
- (407) 898-5185
- NPI assigned
- Feb 7, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070-012829 | IL | |
| Physical Therapist | 225100000X | PT40347 | FL | Primary |
Addresses
Primary practice location
4401 E Colonial Dr Ste 107
Orlando, FL 32803-5200
Mailing address
4401 E Colonial Dr Ste 107
Orlando, FL 32803-5200
Phone (407) 898-5060
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, FL
Enrollment records 2
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 83.26 of 100
- Quality
- 86.58
- Improvement activities
- 40
- Cost
- 68.79
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT40347 | FL | MD | Physical Therapist |
| 070-012829 | IL | MD | Physical Therapist |
Practice roles (5 of 6)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comprehensive Therapeutics LTD | Physical Therapist | Current | Accepting new patients |
| Healthpro Heritage Rehab & Fitness, LLC | Physical Therapist | Current | Accepting new patients |
| Decatur Orthopedic Center, LLC | Current | Accepting new patients | |
| Healthpro Heritage Rehab & Fitness, LLC | Physical Therapist | Current | Accepting new patients |
| Comprehensive Therapeutics LTD | Physical Therapist | Current | Accepting new patients |
Locations
1145 Arbor Dr
Decatur, IL 62526
Phone (217) 247-7509
1800 E Lake Shore Dr
Ste 3
Decatur, IL 62521
1015 Oconor Ave
La Salle, IL 61301
Phone (224) 616-5446
104 E Ashland Ave
Mt Zion, IL 62549
Phone (217) 864-2665
Networks
- Freedom Health HMO Network
Organizations & group practices 5
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.
-
- Physical Therapist
- Coral Gables, FL
- NPI 1871972653
-
- Physical Therapist
- North Riverside, IL
- NPI 1699094102
-
- Orthopaedic Surgery Physician
- Mt. Zion, IL
- NPI 1336586114
-
- Physical Therapist
- Lagrange, GA
- NPI 1881458354
-
- Physical Therapist
- Independence, MO
- NPI 1871072462
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694995200000",
"number": "1205976453",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4401 E COLONIAL DR STE 107",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328035200",
"telephone_number": "407-898-5060",
"fax_number": "407-898-5185"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4401 E COLONIAL DR STE 107",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328035200",
"telephone_number": "407-898-5060",
"fax_number": "407-898-5185"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELLIS",
"first_name": "RACHEL",
"middle_name": "LYNN ANNETTE",
"credential": "PHYSICAL THERAPIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-07",
"last_updated": "2023-09-18",
"certification_date": "2023-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070-012829",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT40347",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.