Individual provider Active NPI

Ellen Elizabeth Ellis, PT, DPT

  • Physical Therapist
  • Bristol, TN
National Provider Identifier
1497413181
Registry record updated May 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
14664 Issued in TN
Practice address
1430 Volunteer Pkwy Ste 6
Bristol, TN 37620-6062
Phone
(423) 652-0265
NPI assigned
Nov 30, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 10663 SC
Physical Therapist 225100000X CP044157T GA
Physical Therapist 225100000X 14664 TN Primary

Addresses

Primary practice location

1430 Volunteer Pkwy Ste 6
Bristol, TN 37620-6062

Mailing address

1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (423) 238-7217

Other practice location 1

482 Interstate Dr Ste H
Manchester, TN 37355-3486
Phone (931) 954-1060

Other practice location 2

1703 John B White SR Blvd Ste F
Spartanburg, SC 29301-5486
Phone (864) 754-3937

Other practice location 3

2000 Brabham Ave Ste 100
Jacksonville, NC 28546-0202
Phone (910) 332-3800

Other practice location 4

102 Hines Rd NE Ste 3
Calhoun, GA 30701-9383
Phone (706) 602-9383

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, TN, GA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20220110002516 SC Practitioner - Physical Therapist in Private Practice 4082006754 Reassigns benefits to 1 organization
I20230310000591 TN Practitioner - Physical Therapist in Private Practice 4082006754 Reassigns benefits to 3 organizations
I20250522000601 GA Practitioner - Physical Therapist in Private Practice 4082006754 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
East Tennessee State University Quillen College of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Agilitas USA, IncGroup PAC ID 3375454648, 812 clinicians

Practice addresses (Care Compare)

102 Hines Rd NE
Suite 3
Calhoun, GA 30701-9383
Phone (706) 602-9655

2312 Knob Creek Rd
Suite 200
Johnson City, TN 37604-2367
Phone (423) 430-9004

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Agilitas USA Inc Physical Therapist CurrentSince Oct 24, 2022 Accepting new patients
Benchmark Physical Therapy, Inc CurrentSince May 6, 2025 Accepting new patients
Agilitas USA, Inc Physical Therapist CurrentSince Oct 24, 2022 Accepting new patients
Independent Physical Therapy of Georgia, LLC Physical Therapist CurrentSince May 6, 2025 Accepting new patients
Independent Physical Therapy of Georgia, LLC Physical Therapist CurrentSince May 6, 2025 Accepting new patients
Benchmark Health Services Physical Therapist CurrentSince Jun 7, 2023 Accepting new patients
Atlanta South Physical Therapy, Inc Physical Therapist CurrentSince May 6, 2025 Accepting new patients
Independent Physical Therapy, LLC Physical Therapist CurrentSince Oct 24, 2022 Accepting new patients
Benchmark Healthcare Services, LLC Physical Therapist CurrentSince Jun 7, 2023 Accepting new patients
Results-Ast JV, LLC Physical Therapist CurrentSince Oct 1, 2023 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

12850 Highway 9 N
Ste 1050
Alpharetta, GA 30004
Phone (678) 332-5800

1025 E West Connector
Ste 406
Austell, GA 30106
Phone (770) 384-1001

102 Hines Rd NE
Ste 3
Calhoun, GA 30701
Phone (706) 602-9383

7130 Mount Zion Blvd
Ste 9
Jonesboro, GA 30236
Phone (770) 603-5660

1498 Hudson Bridge Rd
Stockbridge, GA 30281
Phone (678) 289-0525

1000 Tanner Ford Blvd
Ste 370
Hanahan, SC 29410
Phone (843) 718-1058

7955 N Kings Hwy
Ste 330
Myrtle Beach, SC 29572
Phone (843) 945-1815

1430 Volunteer Pkwy
Ste 6
Bristol, TN 37620
Phone (423) 652-0265

6397 Lee Hwy
Ste 300
Chattanooga, TN 37421
Phone (423) 238-8923

1202 N Charles G Seivers Blvd
Ste A
Clinton, TN 37716
Phone (865) 457-0192

225 W Summer St
Greeneville, TN 37743
Phone (423) 638-1111

3493 Veterans Dr N
Ste D
Huntingdon, TN 38344
Phone (731) 209-4444

2312 Knob Creek Rd
Ste 200
Johnson City, TN 37604
Phone (423) 232-8302

482 Interstate Dr
Ste H
Manchester, TN 37355
Phone (931) 954-1060

5220 Park Ave
Ste 201
Memphis, TN 38119
Phone (901) 683-9630

2030 Cowan Hwy
Ste 1
Winchester, TN 37398
Phone (931) 968-1080

Organizations & group practices 10

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": "1638230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746144000000",
    "number": "1497413181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "423-238-7217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 VOLUNTEER PKWY STE 6",
            "city": "BRISTOL",
            "state": "TN",
            "postal_code": "376206062",
            "telephone_number": "423-652-0265"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "482 Interstate Dr Ste H",
            "address_purpose": "LOCATION",
            "city": "Manchester",
            "state": "TN",
            "postal_code": "373553486",
            "country_code": "US",
            "telephone_number": "931-954-1060",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1703 John B White SR Blvd Ste F",
            "address_purpose": "LOCATION",
            "city": "Spartanburg",
            "state": "SC",
            "postal_code": "293015486",
            "country_code": "US",
            "telephone_number": "864-754-3937",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2000 Brabham Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "NC",
            "postal_code": "285460202",
            "country_code": "US",
            "telephone_number": "910-332-3800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "102 Hines Rd NE Ste 3",
            "address_purpose": "LOCATION",
            "city": "Calhoun",
            "state": "GA",
            "postal_code": "307019383",
            "country_code": "US",
            "telephone_number": "706-602-9383",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "ELLEN",
        "middle_name": "ELIZABETH",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-30",
        "last_updated": "2025-05-02",
        "certification_date": "2025-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "10663",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "CP044157T",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "14664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bristol, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.