Jennifer Elliott, PT

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

PT5942 Issued in OH

Practice address

1205 King Rd
Toledo, OH 43617-2013

Phone

(419) 867-5666

NPI assigned

Jan 17, 2019

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": "1547683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547683200000",
    "number": "1780158279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9859 JULIANNA LN",
            "city": "WHITEHOUSE",
            "state": "OH",
            "postal_code": "435719042",
            "telephone_number": "419-350-5469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 KING RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436172013",
            "telephone_number": "419-867-5666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIOTT",
        "first_name": "JENNIFER",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-17",
        "last_updated": "2019-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "OH",
            "license": "PT5942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sherry Ellington
• Elliot P. Schlang, DDS, Ohio, Inc.
• Ian S Elliot, MD
• Brenda Lee Elliott, RN
• Ian Elliott
• Lindsay Elliott, ATC
• Marsha L Elliott, M.ED
• Sara Elliott
• Brandon Ellis
• Christina Renee Ellis, D.O

• Pediatric Physical Therapist in Toledo, OH
• Providers in Toledo, OH by specialty
• Pediatric Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2019; 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.