Mary Caroline Ellender, P.T.

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

1173570 Issued in TX

Practice address

248 S French Quarter Dr
Houma, LA 70364-2663

Phone

(985) 226-1401

Fax

(985) 868-6297

NPI assigned

Mar 10, 2008

Sex

Female

Sole proprietor

Yes

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": "1205107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205107200000",
    "number": "1679743256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "248 S FRENCH QUARTER DR",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703642663",
            "telephone_number": "985-226-1401",
            "fax_number": "985-868-6297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "248 S FRENCH QUARTER DR",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703642663",
            "telephone_number": "985-226-1401",
            "fax_number": "985-868-6297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLENDER",
        "first_name": "MARY",
        "middle_name": "CAROLINE",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-10",
        "last_updated": "2008-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "TX",
            "license": "1173570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yousuf Ebrahim
• Ken P Ekiss, P.D.
• Albert Philip Ellender, D.D.S.
• Ernest C. Ellender, PH.D.
• Jacob Thomas Ellender, DDS
• Mary Simon Ellender
• William J Ellender, DC
• Emily Vedros Elliott
• Krystal Lynn Ellis, CPHT
• Ranesha Ellis

• Pediatric Physical Therapist in Houma, LA
• Providers in Houma, LA by specialty
• Pediatric Physical Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2008; 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.