Active NPI
Stephen Winston Ellis, PT
- Physical Therapist
- Bedford, NH
National Provider Identifier
1215985676
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1118
- Practice address
- 40 S River Rd
Bedford Place - Unit 58
Bedford, NH 03110-6719 - Phone
- (603) 626-4205
- Fax
- (603) 666-6617
- NPI assigned
- May 5, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1118 | NH | Primary |
Addresses
Primary practice location
40 S River Rd
Bedford Place - Unit 58
Bedford, NH 03110-6719
Mailing address
40 S River Rd
Unit 58
Bedford, NH 03110-6751
Phone (603) 497-8175
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30392140 | Medicaid | NH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
58 Range Rd
Suite 16
Windham, NH 03087-2026
Phone (603) 860-8844
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1118 | NH | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Balance Rehabilitation and Health Science, LLC | Physical Therapist | Current | Accepting new patients |
Locations
48 Mast Rd
Goffstown, NH 03045
Phone (603) 497-8717
58 Range Rd
Ste 16
Windham, NH 03087
Phone (603) 860-8844
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.
-
- Physical Therapist
- Windham, NH
- NPI 1255415881
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1215985676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 S RIVER RD",
"address_2": "UNIT 58",
"city": "BEDFORD",
"state": "NH",
"postal_code": "031106751",
"telephone_number": "603-497-8175"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 S RIVER RD",
"address_2": "BEDFORD PLACE - UNIT 58",
"city": "BEDFORD",
"state": "NH",
"postal_code": "031106719",
"telephone_number": "603-626-4205",
"fax_number": "603-666-6617"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELLIS",
"first_name": "STEPHEN",
"middle_name": "WINSTON",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-05",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NH",
"license": "1118",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30392140",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bedford, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.