Katherine Ellis MD PA

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

J3091 Issued in TX

Legal business name

KATHERINE ELLIS MD PA

Practice address

1200 Reba Macentire LN
Denison, TX 75020-9057

Phone

(903) 465-1857

Fax

(903) 327-8023

NPI assigned

Jul 25, 2014

Last updated

Nov 10, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Katherine Lee Ellis, MDNPI 1871570101

Title

Owner

Phone

(903) 624-2566

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Katherine L Ellis, MD

  • Physical Medicine & Rehabilitation Physician
  • Denison, TX
  • NPI 1871570101
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1406246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699574400000",
    "number": "1891103503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 837",
            "city": "HOWE",
            "state": "TX",
            "postal_code": "754590837",
            "telephone_number": "903-487-2248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 REBA MACENTIRE LN",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "750209057",
            "telephone_number": "903-465-1857",
            "fax_number": "903-327-8023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHERINE ELLIS MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-25",
        "last_updated": "2023-11-10",
        "certification_date": "2023-11-10",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-624-2566",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "J3091",
            "primary": true
        },
        {
            "code": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shraddha Kadam, PHYSICAL THERAPIST
• Bryan Martin Kahl, M.D.
• Bryan Kalil, M.D.
• Autum Michelle Kapinkin, RN
• Michael George Kaprelian
• Amanpreet Kaur, DO
• Gregory M Keelen, DO
• Jessica Marie Kent, APRN, FNP-C
• Rachel Elizabeth Kerns, FNP-C
• Kidney Care Associates LLP

• Physical Medicine & Rehabilitation Physician in Denison, TX
• Providers in Denison, TX by specialty
• Physical Medicine & Rehabilitation Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.