Individual provider Active NPI

Joelle Ells, PTA

  • Physical Therapy Assistant
  • Yelm, WA
National Provider Identifier
1407630007
Registry record updated Aug 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
P160570597 Issued in WA
Practice address
417 West Yelm Ave
Yelm, WA 98597
Phone
(360) 819-4335
NPI assigned
Aug 23, 2023
Last updated
Aug 23, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X P160570597 WA Primary

Addresses

Primary practice location

417 West Yelm Ave
Yelm, WA 98597

Mailing address

100 Dennis St SW Ste B
Tumwater, WA 98501-6523
Phone (360) 338-0181

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

LicenseStateTypeSpecialty
P160570597WAMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Yelm Physical Therapy, PLLC CurrentSince Sep 5, 2023 Accepting new patients
Yelm Physical Therapy Services Inc PS CurrentSince Sep 5, 2023 Accepting new patients

Locations

100 Dennis St SW
Ste B
Tumwater, WA 98501
Phone (360) 338-0181

Organizations & group practices 2

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": "1692748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692748800000",
    "number": "1407630007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 DENNIS ST SW STE B",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985016523",
            "telephone_number": "360-338-0181",
            "fax_number": "360-338-0182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 WEST YELM AVE",
            "city": "YELM",
            "state": "WA",
            "postal_code": "98597",
            "telephone_number": "360-819-4335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLS",
        "first_name": "JOELLE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-23",
        "last_updated": "2023-08-23",
        "certification_date": "2023-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WA",
            "license": "P160570597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yelm, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2023; 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.