Ellis Physical Therapy Associates, Inc.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

285 Issued in SC

Legal business name

ELLIS PHYSICAL THERAPY ASSOCIATES, INC.

Practice address

6041B Garners Ferry Rd
Columbia, SC 29209-1304

Phone

(803) 783-0684

Fax

(803) 783-1147

NPI assigned

Apr 20, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Cynthia A Ellis, PTNPI 1326116971

Title

President

Phone

(803) 783-0684

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Ellis Physical Therapy Associates, Inc

  • Physical Therapist
  • West Columbia, SC
  • NPI 1285798231

  O20040907001092

  Same enrollment

Tax ID family

Ellis Physical Therapy Assoc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Ellis Physical Therapy Associates, Inc.

  • Physical Therapist
  • Columbia, SC
  • NPI 1306169446
  NPD tax ID

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cynthia A Ellis, PT

  • Physical Therapist
  • Columbia, SC
  • NPI 1326116971
  NPD Authorized official
• Kathryn Edwards, PT, DPT

  • Physical Therapist
  • Columbia, SC
  • NPI 1184178493
  NPD
• Adrianne Renee Coleman, DPT

  • Physical Therapist
  • Columbia, SC
  • NPI 1578754073
  NPD (past)
• Amanda Long, PT, DPT

  • Physical Therapist
  • Saint Peters, MO
  • NPI 1710545777
  NPD (past)

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753056000000",
    "number": "1285699249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11400",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292111400",
            "telephone_number": "803-779-8327",
            "fax_number": "803-799-3603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6041B GARNERS FERRY RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292091304",
            "telephone_number": "803-783-0684",
            "fax_number": "803-783-1147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLIS PHYSICAL THERAPY ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-20",
        "last_updated": "2025-07-21",
        "certification_date": "2025-07-21",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "803-783-0684",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lydia Elliott, APRN-CNM
• Myles Thomas Elliott, DMD
• Samantha Elliott
• Samuel Elliott
• Samuel Curtis Elliott III, M.D.
• Ellis Physical Therapy Associates, Inc.
• Christie B. Ellis, CRNA
• Cynthia A Ellis, PT
• Johanna Ellis
• Robert H. Ellis III, DMD

• Physical Therapist in Columbia, SC
• Providers in Columbia, SC by specialty
• Physical Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.