Individual provider Active NPI

Whitney Merdith Ellsworth, DRPT

  • Physical Therapist
  • Broken Arrow, OK
National Provider Identifier
1417135229
Registry record updated Jun 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1103740 Issued in KS
Practice address
2601 N Aspen Ave
Broken Arrow, OK 74012-1373
Phone
(918) 486-9977
Fax
(539) 777-2529
NPI assigned
Feb 4, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2025

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 1103740 KS Primary

Addresses

Primary practice location

2601 N Aspen Ave
Broken Arrow, OK 74012-1373

Mailing address

2601 N Aspen Ave Ste 1023
Broken Arrow, OK 74012-1378
Phone (918) 486-9977

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150722004066 OK Practitioner - Physical Therapist in Private Practice 6204149024 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr. Whitney M. Ellsworth, DPT, PLLCGroup PAC ID 5193134351, 2 clinicians

Practice addresses (Care Compare)

2601 N Aspen Ave
Suite 1023
Broken Arrow, OK 74012-1378
Phone (918) 486-9977

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4144OKMDFamily Medicine Physician
1103740KSMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Whitney M. Ellsworth, DPT, PLLC Physical Therapist CurrentSince Oct 3, 2019 Accepting new patients
Thrive Chiropractic Clinic, LLC CurrentSince Mar 18, 2021 Accepting new patients

Locations

2601 N Aspen Ave
Broken Arrow, OK 74012
Phone (918) 486-9977

2601 N Aspen Ave
Ste 1023
Broken Arrow, OK 74012
Phone (918) 486-9977

4158 S Harvard Ave
Ste E1
Tulsa, OK 74135
Phone (918) 486-9977

4142 S Harvard Ave
Ste D3
Tulsa, OK 74135
Phone (918) 486-9977

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1202083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750809600000",
    "number": "1417135229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 N ASPEN AVE STE 1023",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740121378",
            "telephone_number": "918-486-9977",
            "fax_number": "539-777-2529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 N ASPEN AVE",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740121373",
            "telephone_number": "918-486-9977",
            "fax_number": "539-777-2529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLSWORTH",
        "first_name": "WHITNEY",
        "middle_name": "MERDITH",
        "name_prefix": "Mrs.",
        "credential": "DRPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-04",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "1103740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broken Arrow, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2025; 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.