Jennifer L Ellis, P.T.

Primary specialty

SpecialistTaxonomy code 174400000X

License

05004851A Issued in IN

Practice address

7440 N Shadeland Ave
Suite 130
Indianapolis, IN 46250-2029

Phone

(317) 577-7333

Fax

(317) 577-7330

NPI assigned

Jan 3, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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.

• Dynamic Equilibrium, Inc.

  dba Balance Institute of Indiana

  • Physical Therapist
  • Indianapolis, IN
  • NPI 1043332851
  NPD (past)

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

{
    "created_epoch": "1136246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1225016934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 SAINT JOHN CT S",
            "city": "BEECH GROVE",
            "state": "IN",
            "postal_code": "461072631",
            "telephone_number": "317-408-2752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7440 N SHADELAND AVE",
            "address_2": "SUITE 130",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462502029",
            "telephone_number": "317-577-7333",
            "fax_number": "317-577-7330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-03",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IN",
            "license": "05004851A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPIST LICENS",
            "identifier": "05004851A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Ellis
• Elizabeth Ann Ellis
• Emma Nicole Ellis, MD
• Gina B Ellis, PHARM.D.
• Harriett Ellis
• John Conard Ellis, MD
• Karah Ellis
• Karen Elizabeth Ellis, DDS
• Kathleen Annette Ellis
• Kayla Ellis, MD

• Specialist in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Specialist in Indiana

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.