Ellen Eckelman, MA,PT,DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT0003927 Issued in FL

Practice address

2433 Country Place Blvd
Blding B
Trinity, FL 34655-1163

Phone

(814) 844-4400

NPI assigned

Jul 21, 2014

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Interoperability endpoints

• Direct secure messaging: eeckelman3419@direct.tgh.org

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

{
    "created_epoch": "1405900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623369600000",
    "number": "1851708911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2433 COUNTRY PLACE BLVD",
            "address_2": "BLDING B",
            "city": "TRINITY",
            "state": "FL",
            "postal_code": "346551163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2433 COUNTRY PLACE BLVD",
            "address_2": "BLDING B",
            "city": "TRINITY",
            "state": "FL",
            "postal_code": "346551163",
            "telephone_number": "814-844-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ECKELMAN",
        "first_name": "ELLEN",
        "credential": "MA,PT,DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-21",
        "last_updated": "2021-06-11",
        "certification_date": "2021-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT0003927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "eeckelman3419@direct.tgh.org",
            "affiliation": "N",
            "address_1": "2433 Country Place Blvd",
            "address_2": "Blding B",
            "city": "Trinity",
            "state": "FL",
            "country_code": "US",
            "postal_code": "346551163",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jasmin Laneice Dumas, PA-C
• Devon Durham, DO
• Christina Durrance, DO
• East Lake Pediatrics
• Eastlake Rehab & Care Center LLC (Trinity Regional Rehab Center)
• Graciela F Egli, M.D.
• Richard James Ehrhardt, LMHC
• Thomas F Eiswerth Jr., MD
• Mariam Feroza Ejaz, MD
• Mina Ekladios, MD

• Physical Therapist in Trinity, FL
• Providers in Trinity, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.