Individual provider Active NPI

Ellyn Wertella

  • Physical Therapist
  • Warwick, RI
National Provider Identifier
1366107708
Registry record updated Mar 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT03251 Issued in RI
Practice address
250 Centerville Rd BLDG a
Warwick, RI 02886-4353
Phone
(401) 384-6490
Fax
(401) 384-6493
NPI assigned
Nov 1, 2021
Last updated
Mar 30, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT03251 RI Primary

Addresses

Primary practice location

250 Centerville Rd BLDG a
Warwick, RI 02886-4353

Mailing address

535 Centerville Rd Ste 101
Warwick, RI 02886-4376
Phone (401) 737-6011

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220113000878 RI Practitioner - Physical Therapist in Private Practice 1052703576 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Specialized Orthopedic Physical Therapy IncGroup PAC ID 8729044896, 14 clinicians

Practice addresses (Care Compare)

250 Centerville Rd
BLDG 1
Warwick, RI 02886-4400
Phone (401) 384-6490

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Specialized Orthopedic Physical Therapy, Inc Physical Therapist CurrentSince Jan 2, 2024 Accepting new patients

Locations

250 Centerville Rd
Bldg A
Warwick, RI 02886
Phone (401) 384-6490

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1635724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774828800000",
    "number": "1366107708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 CENTERVILLE RD STE 101",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028864376",
            "telephone_number": "401-737-6011",
            "fax_number": "401-737-4811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 CENTERVILLE RD BLDG A",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028864353",
            "telephone_number": "401-384-6490",
            "fax_number": "401-384-6493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WERTELLA",
        "first_name": "ELLYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-01",
        "last_updated": "2026-03-30",
        "certification_date": "2026-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "RI",
            "license": "PT03251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warwick, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.