Individual provider Active NPI

Ted I Ellquist, PT

  • Physical Therapist
  • Tallahassee, FL
National Provider Identifier
1770516734
Registry record updated Apr 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT33399 Issued in FL
Practice address
2615 Centennial Blvd Ste 101
Tallahassee, FL 32308-0589
Phone
(850) 656-1837
NPI assigned
Jul 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 18588 MD
Orthopedic Physical Therapist 2251X0800X 36493 CA
Physical Therapist 225100000X PT33399 FL Primary

Addresses

Primary practice location

2615 Centennial Blvd Ste 101
Tallahassee, FL 32308-0589

Mailing address

2615 Centennial Blvd Ste 101
Tallahassee, FL 32308-0589
Phone (850) 656-1837

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150126001867 MD Practitioner - Physical Therapist in Private Practice 8921014762 Reassigns benefits to 1 organization
I20180720000989 FL Practitioner - Physical Therapist in Private Practice 8921014762 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cypress Creek Therapy Associates LLCGroup PAC ID 4183536410, 8 clinicians

Practice addresses (Care Compare)

8813 Waltham Woods Rd
Suite 103
Parkville, MD 21234-2550
Phone (410) 882-9999

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18588MDMDPharmacist
PT33399FLMDPhysical Therapist
6277MNMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Natural Healing Arts Medical Center, Inc. CurrentSince Aug 20, 2018 Accepting new patients
Professional Health Care of Pinellas LLC CurrentSince Apr 25, 2018 Accepting new patients
Musculoskeletal Institute Chartered CurrentSince Oct 10, 2022 Accepting new patients
Cypress Creek Therapy Associates LLC Physical Therapist CurrentSince May 1, 2025 Accepting new patients
Musculoskeletal Institute Chartered Orthopedic Current Accepting new patients
Center for Orthopedic and Sports Physical Therapy P a Physical Therapist CurrentSince Jun 13, 2023 Accepting new patients
Musculoskeletal Institute Chartered CurrentSince Oct 10, 2022 Accepting new patients
Professional Health Care of Pinellas Inc. CurrentSince Apr 25, 2018 Accepting new patients
Cypress Creek Therapy Associates LLC Physical Therapist PastSince May 4, 2025 Accepting new patients
Renew Physical Therapy PC Physical Therapist PastSince Oct 18, 2016 Accepting new patients
Life Fitness Physical Therapy LLC Physical Therapist Past Accepting new patients
Life in Motion Physical & Hand Therapy Physical Therapist PastSince Feb 4, 2019 Accepting new patients

Locations

2215 59th St W
#A
Bradenton, FL 34209
Phone (941) 761-4994

36413 US Highway 19 N
Palm Harbor, FL 34684
Phone (727) 499-9448

1839 Central Ave
St Petersburg, FL 33713
Phone (727) 322-1054

5500 Mlk Jr St N
St Petersburg, FL 33703
Phone (727) 525-5500

2615 Centennial Blvd
Ste 101
Tallahassee, FL 32308

13020 N Telecom Pkwy
Temple Terrace, FL 33637

13020 N Telecom Pkwy
Fl Orthopaedic
Temple Terrace, FL 33637

13060 N Telecom Pkwy
Fl Orthopaedic
Temple Terrace, FL 33637

2044 Trinity Oaks Blvd
Ste 110
Trinity, FL 34655
Phone (813) 978-7000

1650 Lyndon Farm Ct
Ste 300
Louisville, KY 40223
Phone (726) 202-3039

20 Mayo Rd
Ste 105
Edgewater, MD 21037
Phone (410) 544-2500

20 Mayo Rd
Ste 205
Edgewater, MD 21037
Phone (410) 384-9242

8813 Waltham Woods Rd
Ste 103
Parkville, MD 21234
Phone (410) 812-0170

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EIJHAA

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743552000000",
    "number": "1770516734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2615 CENTENNIAL BLVD STE 101",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323080589",
            "telephone_number": "850-656-1837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2615 CENTENNIAL BLVD STE 101",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323080589",
            "telephone_number": "850-656-1837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLQUIST",
        "first_name": "TED",
        "middle_name": "I",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-09",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "18588",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "36493",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT33399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.