Active NPI
Scott L Ellis, PT, DPT
- Physical Therapist
- Woodridge, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070-027208
- Practice address
- 7409 Woodridge Dr Ste F
Woodridge, IL 60517-2249 - Phone
- (630) 967-2000
- Fax
- (630) 545-3536
- NPI assigned
- Aug 5, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 8978 | AZ | |
| Physical Therapist | 225100000X | 070-027208 | IL | Primary |
Addresses
Primary practice location
7409 Woodridge Dr Ste F
Woodridge, IL 60517-2249
Mailing address
Pob 7132960
Chicago, IL 60677-0001
Phone (630) 469-9200
Other practice location 1
20250 N. 75th Ave.
Glendale, AZ 85308
Phone (623) 432-9965 ext. 3
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sellis300942@dulyhealthandcare.direct-ci.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1325 N Meacham Rd
Schaumburg, IL 60173-4824
Phone (630) 469-9200
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8978 | AZ | MD | Physical Therapist |
| 070-027208 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Athletic and Therapeutic Institute of Naperville, LLC | Current | Accepting new patients | |
| Athletic and Therapeutic Institute of Naperville LLC | Physical Therapist | Current | Accepting new patients |
| Ideal Rehabilitation LLC | Past | Accepting new patients | |
| Mountainside Fitness Acquisitions | Past | Accepting new patients |
Locations
7708 S Cicero Ave
Burbank, IL 60459
Phone (708) 741-5974
4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001
800 Des Plaines Ave
Forest Park, IL 60130
Phone (708) 366-2442
2325 W Monroe St
Springfield, IL 62704
Phone (217) 241-0270
967 N Green Bay Rd
Waukegan, IL 60085
Phone (224) 321-5237
109 W Geneva Rd
Wheaton, IL 60187
Phone (630) 784-3251
Organizations & group practices 5
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.
-
dba DuPage Medical Group
- Multi-Specialty Clinic/Center
- Downers Grove, IL
- NPI 1801833983
-
dba ATI Physical Therapy
- Physical Therapist
- Aurora, IL
- NPI 1023129681
-
- Durable Medical Equipment & Medical Supplies
- Hazel Crest, IL
- NPI 1043952641
-
- Durable Medical Equipment & Medical Supplies
- Tucson, AZ
- NPI 1831353614
-
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- Scottsdale, AZ
- NPI 1023606878
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743033600000",
"number": "1790099364",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "POB 7132960",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606770001",
"telephone_number": "630-469-9200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7409 WOODRIDGE DR STE F",
"city": "WOODRIDGE",
"state": "IL",
"postal_code": "605172249",
"telephone_number": "630-967-2000",
"fax_number": "630-545-3536"
}
],
"practiceLocations": [
{
"address_1": "20250 N. 75th Ave.",
"address_purpose": "LOCATION",
"city": "Glendale",
"state": "AZ",
"postal_code": "85308",
"country_code": "US",
"telephone_number": "623-432-9965 x3",
"fax_number": "623-243-7646",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ELLIS",
"first_name": "SCOTT",
"middle_name": "L",
"name_prefix": "Mr.",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-08-05",
"last_updated": "2025-03-27",
"certification_date": "2025-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "8978",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070-027208",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "sellis300942@dulyhealthandcare.direct-ci.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "7409 Woodridge Dr Ste F",
"city": "Woodridge",
"state": "IL",
"country_code": "US",
"postal_code": "605172249",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Woodridge, IL
- Edward Health Ventures
- Edward Health Ventures
- Rachel Mathew Eipe, PHARMD
- Elite Diagnostics Laboratories LLC (Elite Diagnostics labs LLC)
- Ellen H. Dace, DMD, PLLC
- Empowerme Rehabilitation Il Agency, LLC
- Empowerme Rehabilitation Illinois, LLC
- Jessica Ann Englehart, OTD, OTR
- Kiah Enriquez, LCSW
- Michaela Rachel Espino
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.