David Edward Ellis, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5824 Issued in AL

Practice address

1007 Goodyear Ave
Rehabilitation Services Department
Gadsden, AL 35903-1195

Phone

(256) 494-4000

Fax

(256) 494-4667

NPI assigned

Sep 3, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1283472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283472000000",
    "number": "1578870093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1007 GOODYEAR AVE",
            "address_2": "REHABILITATION SERVICES DEPARTMENT",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359031195",
            "telephone_number": "256-494-4000",
            "fax_number": "256-494-4667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 GOODYEAR AVE",
            "address_2": "REHABILITATION SERVICES DEPARTMENT",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359031195",
            "telephone_number": "256-494-4000",
            "fax_number": "256-494-4667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "DAVID",
        "middle_name": "EDWARD",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-09-03",
        "last_updated": "2010-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "5824",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "510-37296ELL",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Benjamin Edwards, CRNA
• Rand M Edwards, LCSW
• Jonathan Alexander Eiland, D.C.
• Charles E. Elliott, M.D.
• Megan Elliott, M.S., CCC-SLP
• Kenneth Clay Ellis Jr., DMD, LLC
• Katrina Dione Elston, MS
• Encompass Health Rehabilitation Hospital of Gadsden, LLC
• Christopher G Endfinger, M.D.
• Jennifer Engle

• Physical Therapist in Gadsden, AL
• Providers in Gadsden, AL by specialty
• Physical Therapist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2010; 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.