Mary Ellis, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT868 Issued in ME

Practice address

128 Middle St
Farmington, ME 04938-6937

Phone

(207) 778-6469

Fax

(207) 778-3486

NPI assigned

Dec 21, 2012

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

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 and National Provider Directory roles.

• Allied Physical Therapy

  • Orthopedic Physical Therapist
  • Farmington, ME
  • NPI 1851304984
  NPD (past)
• Elevation Physical Therapy

  • Physical Therapist
  • Farmington, ME
  • NPI 1962011387
  NPD (past)

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

{
    "created_epoch": "1356048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1356048000000",
    "number": "1760728638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 MIDDLE ST",
            "city": "FARMINGTON",
            "state": "ME",
            "postal_code": "049386937",
            "telephone_number": "207-778-6469",
            "fax_number": "207-778-3486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 MIDDLE ST",
            "city": "FARMINGTON",
            "state": "ME",
            "postal_code": "049386937",
            "telephone_number": "207-778-6469",
            "fax_number": "207-778-3486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "MARY",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-21",
        "last_updated": "2012-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ME",
            "license": "PT868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan E Eastler, RN-C
• Elevation Physical Therapy
• Mohamed A Elhag, MD
• Elle Hansen, LLC
• Dawn Elyse Elliott, MD
• Melissa Ellis, FNP
• Samantha Ellis
• Emerge & Transform
• Carroll A English, M.D.
• Anfin Erickson, M.D.

• Physical Therapist in Farmington, ME
• Providers in Farmington, ME by specialty
• Physical Therapist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2012; 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.