Jenna Renee Ellis, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT25565 Issued in FL

Practice address

2970 University Pkwy Ste 105
Sarasota, FL 34243-2401

Phone

(941) 360-1988

Fax

(941) 360-1998

NPI assigned

Jun 17, 2010

Last updated

Jul 8, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jenna Renee Weaver Former name

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Maxider Corporation

  dba On the Go Therapy

  • Physical Therapist
  • Sarasota, FL
  • NPI 1669501615
  Medicare reassignment NPD
• SDS Medical, LLC

  • Orthopedic Physical Therapist
  • Sarasota, FL
  • NPI 1407323561
  Medicare reassignment NPD
• On the Go Therapy Services Inc

  • Physical Therapist
  • Sarasota, FL
  • NPI 1083672984
  NPD (past)

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

{
    "created_epoch": "1276732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594166400000",
    "number": "1437470044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6397 KYLIE CREEK WAY",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342408589",
            "telephone_number": "941-915-3507",
            "fax_number": "941-343-9402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2970 UNIVERSITY PKWY STE 105",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342432401",
            "telephone_number": "941-360-1988",
            "fax_number": "941-360-1998"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5968 Clark Center Ave",
            "address_purpose": "LOCATION",
            "city": "Sarasota",
            "state": "FL",
            "postal_code": "342382715",
            "country_code": "US",
            "telephone_number": "941-922-8200",
            "fax_number": "941-343-9402",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "JENNA",
        "middle_name": "RENEE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-17",
        "last_updated": "2020-07-08",
        "certification_date": "2020-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT25565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNA",
            "last_name": "WEAVER",
            "middle_name": "RENEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Elliot M. Livstone, MD, PA
• Christine Recicar Elliott, MS
• Kenneth A. Elliott, DNP
• Carol Ellis, MD
• Edward A. Ellis, M.D.
• Katie Marie Ellison, CCC-SLP
• Ayse Elma, PT
• Nicole Barratt Elsheimer, ARNP
• Jennifer Elsholz
• Phyllis Elsishans, MD

• Physical Therapist in Sarasota, FL
• Providers in Sarasota, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.