Elysse Cillay, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT60837545 Issued in WA

Practice address

2442 Tongass Ave
Ketchikan, AK 99901-5928

Phone

(907) 225-7808

NPI assigned

Jun 1, 2018

Last updated

Jun 1, 2018By the provider in NPPES

Sex

Female

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

Enrolled in AK

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Traverse Movement & Performance LLC

  • Physical Therapy Clinic/Center
  • Ketchikan, AK
  • NPI 1710667951

  Physical Therapist

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1527811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527811200000",
    "number": "1649762972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21051 STRATHMOOR LN",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926467333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2442 TONGASS AVE",
            "city": "KETCHIKAN",
            "state": "AK",
            "postal_code": "999015928",
            "telephone_number": "907-225-7808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CILLAY",
        "first_name": "ELYSSE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-01",
        "last_updated": "2018-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60837545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sonja Christensen, PHARMD
• Erik D Christianson, OD
• Pamela P Christianson
• Ariel Elizabeth Christopher
• Anthonny Ramiero Chulik
• City of Ketchikan
• City of Ketchikan-Gateway Center for Human Services
• Jessica Clark
• Kevin James Clevenger
• Joleyn Cobbs

• Physical Therapist in Ketchikan, AK
• Providers in Ketchikan, AK by specialty
• Physical Therapist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.