Jenna C Ellis, PTA
Individual provider Active NPI Physical Therapy Assistant · Grand Island, NY
NPI 1386578052 · NPPES record last updated Jun 9, 2026
Key facts
- NPI
- 1386578052
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 014831 (NY)
- Practice address
- 1801 Grand Island Blvd
Grand Island, NY 14072-2249 - Phone
- (716) 773-4323
- NPI assigned
- Jun 9, 2026
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 014831 | NY | Yes |
Addresses
Primary practice location
1801 Grand Island Blvd
Grand Island, NY 14072-2249
Mailing address
1801 Grand Island Blvd
Grand Island, NY 14072-2249
Phone (716) 773-4323
Other providers in Grand Island, NY
- Dr. Cassata Eye Care Optometrist, P.C.
- Dr. Maria Jereva
- East River RP Holdings LLC
- Eckerd Corporation
- Natalia Eden
- Emily Masotti LCSW PLLC
- Michelle Fatta
- Cara Felton
- Fieldstone Physical Therapy L.L.P.
- Denise Mari Freedman
All providers in Grand Island, NY · Physical Therapy Assistant in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 9, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.