Organization Active NPI

Ellsworth Physical Therapy PLLC

  • Physical Therapy Clinic/Center
  • San Tan Valley, AZ
National Provider Identifier
1508753575
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
ELLSWORTH PHYSICAL THERAPY PLLC
Practice address
40975 N Ironwood Dr Ste C14
San Tan Valley, AZ 85140-8906
Phone
(480) 269-3590
Fax
(480) 359-2113
NPI assigned
Jun 21, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2026

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

Authorized official

Name
Phillip Ellsworth, PTNPI 1851288914
Title
Owner
Phone
(480) 269-3590

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
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

40975 N Ironwood Dr Ste C14
San Tan Valley, AZ 85140-8906

Mailing address

40975 N Arbor Ave
San Tan Valley, AZ 85140-5416
Phone (480) 269-3590

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1750464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788134400000",
    "number": "1508753575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40975 N ARBOR AVE",
            "city": "SAN TAN VALLEY",
            "state": "AZ",
            "postal_code": "851405416",
            "telephone_number": "480-269-3590",
            "fax_number": "480-359-2113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40975 N IRONWOOD DR STE C14",
            "city": "SAN TAN VALLEY",
            "state": "AZ",
            "postal_code": "851408906",
            "telephone_number": "480-269-3590",
            "fax_number": "480-359-2113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLSWORTH PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-21",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A",
        "authorized_official_last_name": "ELLSWORTH",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-269-3590",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Tan Valley, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.