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

3937 Sunset Blvd
Suite a
West Columbia, SC 29169

Phone

(803) 794-2213

Fax

(803) 791-5284

NPI assigned

Dec 21, 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, PT

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
  • Columbia, SC
  • NPI 1285699249

  O20040907001092

  Same enrollment

Locations

Practitioners 1

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

• Katie Marie Smyers, PT

  • Physical Therapist
  • Columbia, SC
  • NPI 1346406295
  NPD (past)

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622073600000",
    "number": "1285798231",
    "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": "803-783-0684",
            "fax_number": "803-783-1147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3937 SUNSET BLVD",
            "address_2": "SUITE A",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "29169",
            "telephone_number": "803-794-2213",
            "fax_number": "803-791-5284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLIS PHYSICAL THERAPY ASSOCIATES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2021-05-27",
        "certification_date": "2021-05-27",
        "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": []
}

• Brian M Elias, DPM
• Elizabeth Rummel Counseling LLC
• Kristen Leigh Ellenburg, OTR/L
• Jenna R Elliott, PT
• Todd Brian Elliott, D.M.D.
• Jennifer Robin Ellisor, RPH, PHARMD
• Walter Gerald Ellisor, RPH
• Howard N Ellstrom, CRNA
• Emeritus Corporation
• Empower Therapy Group

• Physical Therapist in West Columbia, SC
• Providers in West 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 May 27, 2021; 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.