Active NPI
Ellora Maggs, DPT, OCS
- Orthopedic Physical Therapist
- Sonora, CA
National Provider Identifier
1740420058
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 35312
- Practice address
- 13949 Mono Way
Sonora, CA 95370-2807 - Phone
- (209) 533-5371
- NPI assigned
- Feb 26, 2009
- Last updated
- Jan 22, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 | 2305211605 | VA | |
| Orthopedic Physical Therapist | 2251X0800X | 35312 | CA | Primary |
Addresses
Primary practice location
13949 Mono Way
Sonora, CA 95370-2807
Mailing address
PO Box 4143
Sonora, CA 95370-4143
Phone (209) 532-1288
Other names 1
- Ellora Weston
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://www.mychirotouch.com/ | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT35312 | CA | MD | Licensed Psychiatric Technician |
| 2305211605 | VA | MD | Physical Therapist |
| 35312 | CA | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peak Performance Care Physical Therapy | Current | Accepting new patients | |
| Peak Performance Care Physical Therapy Inc | Single Specialty | Current | Accepting new patients |
| Sports & Orthopedic Leaders Physical Therapy, Inc | Single Specialty | Past | Accepting new patients |
| Continuum Family Health Medical Corporation | Single Specialty | Past | Accepting new patients |
Locations
19 Bradford St
Unit D
Sonora, CA 95370
Phone (209) 591-3622
13949 Mono Way
Sonora, CA 95370
Phone (209) 213-9184
Organizations & group practices 4
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 Therapy Clinic/Center
- Sonora, CA
- NPI 1275838476
-
- Physical Therapist
- Sonora, CA
- NPI 1417413923
Single Specialty
-
- Family Medicine Physician
- Sonora, CA
- NPI 1326692492
Single Specialty
-
- Physical Therapist
- Oakland, CA
- NPI 1013981760
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579651200000",
"number": "1740420058",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4143",
"city": "SONORA",
"state": "CA",
"postal_code": "953704143",
"telephone_number": "209-532-1288",
"fax_number": "209-230-9529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13949 MONO WAY",
"city": "SONORA",
"state": "CA",
"postal_code": "953702807",
"telephone_number": "209-533-5371"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAGGS",
"first_name": "ELLORA",
"credential": "DPT, OCS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-02-26",
"last_updated": "2020-01-22",
"certification_date": "2020-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305211605",
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "CA",
"license": "35312",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://www.mychirotouch.com/",
"affiliation": "N",
"endpointDescription": "MyChiroTouch",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "13949 Mono Way",
"city": "Sonora",
"state": "CA",
"country_code": "US",
"postal_code": "953702807",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "ELLORA",
"last_name": "WESTON",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Sonora, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.