Thomas Lee Ellexson, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305005588 Issued in VA

Practice address

1620 Apperson Dr
Salem, VA 24153-7217

Phone

(540) 444-0291

NPI assigned

Aug 15, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced Physical Therapy of Virginia IncGroup PAC ID 7214931211, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Advanced Physical Therapy of Virginia Inc

  • Physical Therapist
  • Salem, VA
  • NPI 1083623284
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387411200000",
    "number": "1386657799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6260 SHADY ACRES DR",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240147100",
            "telephone_number": "540-444-0291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 APPERSON DR",
            "city": "SALEM",
            "state": "VA",
            "postal_code": "241537217",
            "telephone_number": "540-444-0291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLEXSON",
        "first_name": "THOMAS",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-15",
        "last_updated": "2013-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305005588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Nicole Elam, BS, RBT
• Clement Elechi, M.D.
• Basma Elhaddad, MD
• David Andrew Eliason, M.D.
• Charlene Ellestad
• Lauren M Ellis, BS, RBT
• Madge Ellis, M.D.
• Selma Zaki Elsarrag, MD, PHD
• Iya Elsayed, MD
• Omar Ibrahim Elsayed

• Physical Therapist in Salem, VA
• Providers in Salem, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2013; 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.