Amie Jo Ellis, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

0950 Issued in WY

Practice address

433 Obetz Rd
Columbus, OH 43207-4098

Phone

(740) 801-1204

NPI assigned

Feb 20, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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": "1519084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554681600000",
    "number": "1649770140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 1ST ST",
            "city": "ROCK SPRINGS",
            "state": "WY",
            "postal_code": "829016140",
            "telephone_number": "740-801-1204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 OBETZ RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432074098",
            "telephone_number": "740-801-1204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "AMIE",
        "middle_name": "JO",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-20",
        "last_updated": "2019-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OH",
            "license": "011100",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WY",
            "license": "0950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Allison Elliott, MD
• Walker Elliott, DO
• Yolande Elliott
• Abigail Wolf Ellis
• Alasia M Ellis
• Britney Ellis, APRN-CNP
• Cassondra Ellis
• Chase Jay Ellis
• Dana Ellis, L.S.W.
• Emily Ellis, DO

• Physical Therapy Assistant in Columbus, OH
• Providers in Columbus, OH by specialty
• Physical Therapy Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2019; 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.