Individual provider Active NPI

Stephen Winston Ellis, PT

  • Physical Therapist
  • Bedford, NH
National Provider Identifier
1215985676
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1118 Issued in NH
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

Updated by the provider on Jul 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
30392140MedicaidNH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060109000223 NH Practitioner - Physical Therapist in Private Practice 7113940966 Reassigns benefits to 1 organization

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
Balance Rehabilitation and Health Science, LLCGroup PAC ID 5496753543, 13 clinicians

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

LicenseStateTypeSpecialty
1118NHMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Balance Rehabilitation and Health Science, LLC Physical Therapist CurrentSince May 1, 2018 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.

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.

Verify at the official NPI Registry.