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

6041 Garners Ferry Rd
Suite B
Columbia, SC 29209

Phone

(803) 783-0684

Fax

(803) 783-1147

NPI assigned

Mar 3, 2010

Organization subpart

No

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

Authorized official

Name

Ms. Cynthia Ellis, PT

Title

President

Phone

(803) 783-0684

Specialties & licenses 1

Addresses

Other identifiers 1

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 1285699249
  NPD tax ID

Locations

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

{
    "created_epoch": "1267574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622073600000",
    "number": "1306169446",
    "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": "803-794-2213",
            "fax_number": "803-791-5284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6041 GARNERS FERRY RD",
            "address_2": "SUITE B",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "29209",
            "telephone_number": "803-783-0684",
            "fax_number": "803-783-1147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLIS PHYSICAL THERAPY ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-03",
        "last_updated": "2021-05-27",
        "certification_date": "2021-05-27",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "CYNTHIA",
        "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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "426542",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• 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
• Robert H. Ellis Jr., DDS

• 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 May 27, 2021; 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.