Jim Thomas Ellerd, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2031342 Issued in TX

Practice address

210 West Ave
Levelland, TX 79336-3233

Phone

(806) 894-5053

Fax

(806) 894-9603

NPI assigned

Sep 6, 2018

Sex

Male

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": "1536192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536192000000",
    "number": "1861974792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 WEST AVE",
            "city": "LEVELLAND",
            "state": "TX",
            "postal_code": "793363233",
            "telephone_number": "806-894-5053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 WEST AVE",
            "city": "LEVELLAND",
            "state": "TX",
            "postal_code": "793363233",
            "telephone_number": "806-894-5053",
            "fax_number": "806-894-9603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLERD",
        "first_name": "JIM",
        "middle_name": "THOMAS",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-09-06",
        "last_updated": "2018-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2031342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Dye, M.S., CF-SLP
• Rachel Anne Eagan, LPC-S
• Roxanne Rosana Echevarria, PHARMD
• Deette Edens, MSN, APRN, FNP-C
• Educare Community Living Corporation - Texas
• Emergency Staffing Solutions of West Texas LLC
• Hannah Marie English Rodriguez, PT
• Miranda Joy English, LPC-A
• Fannin County Hospital Authority
• Chelsea Flack, PTA

• Physical Therapy Assistant in Levelland, TX
• Providers in Levelland, TX by specialty
• Physical Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2018; 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.