Christina Ellis

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2014028906 Issued in MO

Practice address

2700 E 34TH St
Joplin, MO 64804-4310

Phone

(417) 781-1737

NPI assigned

Dec 31, 2021

Last updated

Dec 31, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1640908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640908800000",
    "number": "1770244840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12010 OLD 66 BLVD",
            "city": "CARTHAGE",
            "state": "MO",
            "postal_code": "648365107",
            "telephone_number": "501-626-4201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 E 34TH ST",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648044310",
            "telephone_number": "417-781-1737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "CHRISTINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-31",
        "last_updated": "2021-12-31",
        "certification_date": "2021-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2014028906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Omnia I Elkoush, DO
• Alex Elliott
• Elijah Patrick Elliott, DO
• Josephine E Elliott
• Ren Avery Elliott, LPC
• Crystal Dawn Ellis, LSCSW
• Spencer L Ellis, CASAC
• Virgil Bennett Ellis
• Carolyn Elmborg, CRNA
• Dallin Daniel Elmer, DO

• Physical Therapist in Joplin, MO
• Providers in Joplin, MO by specialty
• Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2021; 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.