Active NPI
Kelle Jo Ellis, LMP
- Massage Therapist
- Billings, MT
National Provider Identifier
1285895458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA00013494
- Practice address
- 993 South 24TH Street West
Ste a
Billings, MT 59102 - Phone
- (406) 652-7000
- Fax
- (406) 652-7002
- NPI assigned
- Jun 20, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA00013494 | WA | Primary |
Addresses
Primary practice location
993 South 24TH Street West
Ste a
Billings, MT 59102
Mailing address
993 South 24TH Street West
Ste a
Billings, MT 59102
Phone (406) 652-7000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA00013494 | WA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Expediton Dentistry | Past | Accepting new patients |
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.
-
- Oral and Maxillofacial Pathology Dentistry
- Billings, MT
- NPI 1528400900
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213920000000",
"number": "1285895458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "993 SOUTH 24TH STREET WEST",
"address_2": "STE A",
"city": "BILLINGS",
"state": "MT",
"postal_code": "59102",
"telephone_number": "406-652-7000",
"fax_number": "406-652-7002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "993 SOUTH 24TH STREET WEST",
"address_2": "STE A",
"city": "BILLINGS",
"state": "MT",
"postal_code": "59102",
"telephone_number": "406-652-7000",
"fax_number": "406-652-7002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELLIS",
"first_name": "KELLE JO",
"credential": "LMP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-06-20",
"last_updated": "2008-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA00013494",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Billings, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.