Ellen M Ackroyd, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT00010162 Issued in WA

Practice address

15906 Mill Creek Blvd
106
Mill Creek, WA 98012-1797

Phone

(425) 332-1030

Fax

(425) 332-1035

NPI assigned

Feb 9, 2007

Last updated

Mar 13, 2013By 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

Other identifiers 1

Other names 1

• Ms. Ellen M Williams Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Summit Rehabilitation PLLC

  dba Summit Rehab

  • Multi-Specialty Clinic/Center
  • Lake Stevens, WA
  • NPI 1558492934

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363132800000",
    "number": "1750422846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10505 19TH AVE SE",
            "address_2": "SUITE B",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982084280",
            "telephone_number": "408-570-0510",
            "fax_number": "408-945-4018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15906 MILL CREEK BLVD",
            "address_2": "106",
            "city": "MILL CREEK",
            "state": "WA",
            "postal_code": "980121797",
            "telephone_number": "425-332-1030",
            "fax_number": "425-332-1035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACKROYD",
        "first_name": "ELLEN",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-09",
        "last_updated": "2013-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00010162",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8464489",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELLEN",
            "last_name": "WILLIAMS",
            "middle_name": "M",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• 360 Dental of Mill Creek
• Ac Eyecare, Inc. (Vision Plus Optometrist, Mill Creek)
• Kenneth Albert Ackerman, PH.D.
• Zecharias Adane Adebo, LMHC
• Arash Alex Aflatooni, DDS
• Yaein Ahn
• Melinda Sue Ainsworth, LMP
• Jessica Catherine Akers, LMT

• Physical Therapist in Mill Creek, WA
• Providers in Mill Creek, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2013; 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.