Ellis House of Fitness & Rehabilitation Center

Primary specialty

Physical Rehabilitation Occupational TherapistTaxonomy code 225XP0019X

Legal business name

ELLIS HOUSE OF FITNESS & REHABILITATION CENTER

Practice address

7470 Old Alexandria Ferry Rd
Clinton, MD 20735-1861

Phone

(301) 877-8870

Fax

(301) 203-0618

NPI assigned

Sep 9, 2011

Last updated

Nov 14, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

John Ellis

Title

Physical Therapy Assistant

Phone

(301) 877-8870

Specialties & licenses 4

Addresses

Locations

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

{
    "created_epoch": "1315526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321228800000",
    "number": "1275814808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7470 OLD ALEXANDRIA FERRY RD",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207351861",
            "telephone_number": "301-877-8870",
            "fax_number": "301-203-0618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7470 OLD ALEXANDRIA FERRY RD",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207351861",
            "telephone_number": "301-877-8870",
            "fax_number": "301-203-0618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLIS HOUSE OF FITNESS & REHABILITATION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-09",
        "last_updated": "2011-11-14",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PHYSICAL THERAPY ASSISTANT",
        "authorized_official_telephone_number": "301-877-8870"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "MD",
            "license": null,
            "primary": false
        },
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lydia Ndi Ejacha
• Ignatius Ekekwe
• Sophie Elangue
• Nichodemus Elebeke, PHARM D
• Marlon Ellerbee Jr.
• Adrienne Benita Ellis, PSY.D.
• Embiance Virgin Hair
• Empower Behavioral Health LLC
• Endocrinology Associates of Southern Maryland LLC
• Faramade O Eruanga, CRNP

• Physical Rehabilitation Occupational Therapist in Clinton, MD
• Providers in Clinton, MD by specialty
• Physical Rehabilitation Occupational Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2011; 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.