Active NPI
Ellen Elizabeth Ellis, PT, DPT
- Physical Therapist
- Bristol, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 14664
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, GA
Enrollment records 3
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Agilitas USA Inc | Physical Therapist | Current | Accepting new patients |
| Benchmark Physical Therapy, Inc | Current | Accepting new patients | |
| Agilitas USA, Inc | Physical Therapist | Current | Accepting new patients |
| Independent Physical Therapy of Georgia, LLC | Physical Therapist | Current | Accepting new patients |
| Independent Physical Therapy of Georgia, LLC | Physical Therapist | Current | Accepting new patients |
| Benchmark Health Services | Physical Therapist | Current | Accepting new patients |
| Atlanta South Physical Therapy, Inc | Physical Therapist | Current | Accepting new patients |
| Independent Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Benchmark Healthcare Services, LLC | Physical Therapist | Current | Accepting new patients |
| Results-Ast JV, LLC | Physical Therapist | Current | 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.
-
- Physical Therapist
- Fort Oglethorpe, GA
- NPI 1780636068
-
- Physical Therapist
- Chattanooga, TN
- NPI 1104878354
-
- Physical Therapist
- Franklin, TN
- NPI 1780291948
-
- Physical Therapy Clinic/Center
- Duluth, GA
- NPI 1083666903
-
- Physical Therapist
- Lawrenceville, GA
- NPI 1922051564
-
- Physical Therapist
- Easley, SC
- NPI 1457842643
-
- Occupational Therapist
- Gainesville, GA
- NPI 1306013941
Physical Therapist
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.