Thor Jeffrey Elsing, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2815 Issued in WI

Practice address

W173N10915 Bernies Way
Germantown, WI 53022-4043

Phone

(262) 509-3300

Fax

(262) 251-7359

NPI assigned

Mar 18, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1710720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710720000000",
    "number": "1578322764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W173N10915 BERNIES WAY",
            "city": "GERMANTOWN",
            "state": "WI",
            "postal_code": "530224043",
            "telephone_number": "262-509-3300",
            "fax_number": "262-251-7359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W173N10915 BERNIES WAY",
            "city": "GERMANTOWN",
            "state": "WI",
            "postal_code": "530224043",
            "telephone_number": "262-509-3300",
            "fax_number": "262-251-7359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELSING",
        "first_name": "THOR",
        "middle_name": "JEFFREY",
        "name_prefix": "Mr.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-03-18",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WI",
            "license": "2815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Dupree
• Easy Living Home Health Care Agency, Inc. (Easy Living Therapy & Wellness)
• Easy Living Home Health Care Agency, Inc.
• Easy Living Therapy & Wellness, LLC
• Susan Ellis, LPC
• Henry L Eskin
• Jamie L Everts, PT
• Jessica Ewig, APNP
• Extended Care Services
• Eye Associates S C

• Physical Therapy Assistant in Germantown, WI
• Providers in Germantown, WI by specialty
• Physical Therapy Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; 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.