Tori Ellinger, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

06005904A Issued in IN

Practice address

17495 Dugdale Dr
South Bend, IN 46635-1545

Phone

(574) 247-7500

NPI assigned

Jun 8, 2019

Last updated

Oct 23, 2024By 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 names 1

• Tori Birky Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Saint Joseph Regional Medical Center-South Bend Campus, Inc.

  • General Acute Care Hospital
  • Mishawaka, IN
  • NPI 1841245594
  NPD (past)

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

{
    "created_epoch": "1559952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729641600000",
    "number": "1750940276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 E 300 S",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463837837",
            "telephone_number": "219-246-7710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17495 DUGDALE DR",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466351545",
            "telephone_number": "574-247-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLINGER",
        "first_name": "TORI",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-08",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IN",
            "license": "06005904A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TORI",
            "last_name": "BIRKY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Yahya El-Shinnawy
• Samira Hassan El-Zind, MD
• Kenneth Eugene Elek, M.D.
• Elite Homehealth Care Services, LLC
• Christopher J Ellenberger, BS
• Elliott and Morlan LLC (Optometric Associates)
• Daniel O. Elliott III, OD
• Todd Ellis, PTA
• Eminence Healthcare Staffing Agency LLC. (Eminence Health & Notary Services)
• Natalie Ann Emmert

• Physical Therapy Assistant in South Bend, IN
• Providers in South Bend, IN by specialty
• Physical Therapy Assistant in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2024; 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.