Jacqueline Marion Ellis, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1710 Issued in NC

Practice address

90 Southside Ave
Suite 225
Asheville, NC 28801-4160

Phone

(828) 254-3525

Fax

(828) 254-0792

NPI assigned

Aug 10, 2005

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1699777672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 SOUTHSIDE AVE",
            "address_2": "SUITE 225",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288014160",
            "telephone_number": "828-254-3525",
            "fax_number": "828-254-0792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 SOUTHSIDE AVE",
            "address_2": "SUITE 225",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288014160",
            "telephone_number": "828-254-3525",
            "fax_number": "828-254-0792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "JACQUELINE",
        "middle_name": "MARION",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-10",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "1710",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "078PW",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amber Nicole Ellis, PT, DPT
• Brian Ellis
• Carla Denise Ellis, LCMHC
• Elaine D Ellis, LPC
• Eva Ellis, ARRT(R)(T)(CT)
• Laura B. Ellis, M.D.
• Maycen Caroline Ellis
• Phillip Scott Ellis, PH.D.
• Sylvia Wiesmann Ellis, NP-C
• Angela Kay Ellison, M.A.

• Physical Therapist in Asheville, NC
• Providers in Asheville, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.