Leighann Ellis

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

22540 Issued in MA

Practice address

101 University Dr
Suite a-6
Amherst, MA 01002-2473

Phone

(413) 366-5703

Fax

(413) 992-2019

NPI assigned

Oct 25, 2016

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

Enrolled in MA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Excel Orthopaedic SpecialistsGroup PAC ID 0648241414, 46 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Excel Orthopaedic Specialists

  • Sports Medicine (Neuromusculoskeletal Medicine) Physician
  • Woburn, MA
  • NPI 1659349462
  Medicare reassignment Care Compare group NPD
• Performance Rehabilitation of Western New England LLC

  • Physical Therapist
  • West Springfield, MA
  • NPI 1710919063
  Medicare reassignment NPD
• Performance Rehabilitation of Western New England LLC

  • Durable Medical Equipment & Medical Supplies
  • Wilbraham, MA
  • NPI 1376140566

  Physical Therapist

  NPD
• Excel Orthopaedic Specialists Inc

  • Occupational Therapist
  • Woburn, MA
  • NPI 1104033836
  NPD (past)
• Excel Orthopaedic Specialists Inc

  • Physical Therapist
  • Woburn, MA
  • NPI 1578770202
  NPD (past)

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

{
    "created_epoch": "1477353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540166400000",
    "number": "1780136879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 UNICORN PARK DR",
            "address_2": "STE 201",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018013342",
            "telephone_number": "781-782-1300",
            "fax_number": "781-782-1350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 UNIVERSITY DR",
            "address_2": "SUITE A-6",
            "city": "AMHERST",
            "state": "MA",
            "postal_code": "010022473",
            "telephone_number": "413-366-5703",
            "fax_number": "413-992-2019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "LEIGHANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-25",
        "last_updated": "2018-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "22540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie R Earnhardt, LCMHC, LMHC
• Debra Edelman, PH.D.
• Fred I Eisen, M.A.
• Theodore Jacob Ellenhorn, PHD
• Debra Rudnick Ellis, MSPT, NCS
• David Alexander Elron
• Khama D Ennis, MD, MPH
• Rachel Epstein, PSYD
• Casey Anne Erelli, PA-C
• John Burnett Erskine, DPM

• Physical Therapist in Amherst, MA
• Providers in Amherst, MA by specialty
• Physical Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2018; 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.