Active NPI
Christopher John Ellis, P.T.
- Physical Therapist
- Aventura, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT24154
- Practice address
- 21000 NE 28TH Ave
Ste 104
Aventura, FL 33180-1421 - Phone
- (716) 870-0728
- NPI assigned
- Nov 9, 2007
- Last updated
- Aug 6, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2187 | NV | |
| Physical Therapist | 225100000X | PT24154 | FL | Primary |
Addresses
Primary practice location
21000 NE 28TH Ave
Ste 104
Aventura, FL 33180-1421
Mailing address
21000 NE 28TH Ave
Ste 104
Aventura, FL 33180-1421
Phone (716) 870-0728
Other practice location 1
600 S Rancho Dr
#103
Las Vegas, NV 89106-4867
Phone (702) 258-9381
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649450388 | Medicaid | NV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- University of Miami, LM Miller School of Medicine, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2250 SW 71 Terr
Davie, FL 33317-7136
Phone (954) 806-5896
2250 SW 71St Ter
Davie, FL 33317-7136
500 S Andrews Ave
Suite 120
Fort Lauderdale, FL 33301-4433
Phone (954) 806-5896
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT24154 | FL | MD | Physical Therapist |
| 2187 | NV | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Force Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Force Physical Therapy North Miami, LLC | Physical Therapist | Current | Accepting new patients |
| Force Physiotherapy Fort Lauderdale LLC | Physical Therapist | Current | Accepting new patients |
| Force Physical Therapy Davie LLC | Physical Therapist | Current | Accepting new patients |
| Force Physiotherapy Wynwood LLC | Physical Therapist | Past | Accepting new patients |
| Force Physical Therapy Coconut Grove LLC | Physical Therapist | Past | Accepting new patients |
Locations
5300 Island Blvd
Aventura, FL 33160
Phone (305) 332-4913
2250 SW 71st Ter
Davie, FL 33317
Phone (954) 806-5896
500 S Andrews Ave
Ste 120
Fort Lauderdale, FL 33301
Phone (716) 870-0728
21000 NE 28th Ave
Ste 104
Miami, FL 33180
Phone (305) 933-0626
21150 Biscayne Blvd
Ste 406
Miami, FL 33180
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Davie, FL
- NPI 1811362817
-
- Physical Therapist
- Fort Lauderdale, FL
- NPI 1639920192
-
- Physical Therapist
- Aventura, FL
- NPI 1407184815
-
- Physical Therapist
- Aventura, FL
- NPI 1487101135
-
- Physical Therapist
- Miami, FL
- NPI 1831834514
-
- Physical Therapist
- Miami, FL
- NPI 1568235471
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628208000000",
"number": "1649450388",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21000 NE 28TH AVE",
"address_2": "STE 104",
"city": "AVENTURA",
"state": "FL",
"postal_code": "331801421",
"telephone_number": "716-870-0728"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21000 NE 28TH AVE",
"address_2": "STE 104",
"city": "AVENTURA",
"state": "FL",
"postal_code": "331801421",
"telephone_number": "716-870-0728"
}
],
"practiceLocations": [
{
"address_1": "600 S Rancho Dr",
"address_2": "#103",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891064867",
"country_code": "US",
"telephone_number": "702-258-9381",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ELLIS",
"first_name": "CHRISTOPHER",
"middle_name": "JOHN",
"name_prefix": "Mr.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-11-09",
"last_updated": "2021-08-06",
"certification_date": "2021-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NV",
"license": "2187",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT24154",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1649450388",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Aventura, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2021; 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.