Active NPI
Lindsey Ellis
- Physical Therapy Assistant
- Rockwall, TX
National Provider Identifier
1447921655
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 2163772
- Practice address
- 3007 Ridge Rd
Rockwall, TX 75032-5806 - Phone
- (469) 887-1021
- NPI assigned
- Sep 27, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 2163772 | TX | Primary |
Addresses
Primary practice location
3007 Ridge Rd
Rockwall, TX 75032-5806
Mailing address
2431 S Loop 289
Lubbock, TX 79423-1519
Phone (806) 771-8008
Other practice location 1
2241 Peggy Ln Ste C
Garland, TX 75042-5709
Phone (972) 272-9643
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2163772 | TX | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632700800000",
"number": "1447921655",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2431 S LOOP 289",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794231519",
"telephone_number": "806-771-8008",
"fax_number": "806-771-8009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3007 RIDGE RD",
"city": "ROCKWALL",
"state": "TX",
"postal_code": "750325806",
"telephone_number": "469-887-1021"
}
],
"practiceLocations": [
{
"address_1": "2241 Peggy Ln Ste C",
"address_purpose": "LOCATION",
"city": "Garland",
"state": "TX",
"postal_code": "750425709",
"country_code": "US",
"telephone_number": "972-272-9643",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ELLIS",
"first_name": "LINDSEY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-09-27",
"last_updated": "2021-09-27",
"certification_date": "2021-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapy Assistant",
"state": "TX",
"license": "2163772",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rockwall, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.