Organization Active NPI

Dr. Whitney M. Ellsworth, DPT, PLLC

  • Orthopedic Physical Therapist
  • Broken Arrow, OK
National Provider Identifier
1437761590
Registry record updated Jun 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
Legal business name
DR. WHITNEY M. ELLSWORTH, DPT, PLLC
Practice address
2601 N Aspen Ave Ste 1023
Broken Arrow, OK 74012-1378
Phone
(918) 486-9977
Fax
(539) 777-2529
NPI assigned
Aug 20, 2020
Organization subpart
No

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

Authorized official

Name
Dr. Whitney Ellsworth, DPTNPI 1417135229
Title
Owner/Physical Therapist
Phone
(918) 486-9977

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2251X0800X Primary

Addresses

Primary practice location

2601 N Aspen Ave Ste 1023
Broken Arrow, OK 74012-1378

Mailing address

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

Other identifiers 2

IdentifierTypeStateIssuer
201039650AMedicaidOK
200398390AMedicaidOK

Other names 1

  • Balanced Pelvic Health & Physical Therapy Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL whitney@thepelvicmechanic.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210429002341 OK Part B Supplier - Physical/Occupational Therapy Group in Private Practice 5193134351 Receives reassigned benefits from 2 practitioners
Practice locations: Broken Arrow, OK

National Provider Directory

National Provider Directory

Locations

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

2401 N Aspen Ave Ste 1023
Broken Arrow, OK 74012

4185 S Harvard Ave
Ste E1
Tulsa, OK 74135

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

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1597881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750809600000",
    "number": "1437761590",
    "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 STE 1023",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740121378",
            "telephone_number": "918-486-9977",
            "fax_number": "539-777-2529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. WHITNEY M. ELLSWORTH, DPT, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-20",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-25",
        "status": "A",
        "authorized_official_last_name": "ELLSWORTH",
        "authorized_official_first_name": "WHITNEY",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "918-486-9977",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201039650A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200398390A",
            "state": "OK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "whitney@thepelvicmechanic.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4185 S Harvard Ave",
            "address_2": "Suite E-1",
            "city": "Tulsa",
            "state": "OK",
            "country_code": "US",
            "postal_code": "74135",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Balanced Pelvic Health & Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Balanced Pelvic Health & Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.