Dan Ellerkamp, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

Practice address

600 Highland Ave
Mail Stop 2424
Madison, WI 53792-2424

Phone

(608) 263-8060

Fax

(608) 262-7679

NPI assigned

Sep 25, 2014

Sex

Male

Sole proprietor

No

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

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

{
    "created_epoch": "1411603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411603200000",
    "number": "1902208598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 HIGHLAND AVE",
            "address_2": "MAIL STOP 2424",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537922424",
            "telephone_number": "608-263-8060",
            "fax_number": "608-262-7679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 HIGHLAND AVE",
            "address_2": "MAIL STOP 2424",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537922424",
            "telephone_number": "608-263-8060",
            "fax_number": "608-262-7679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLERKAMP",
        "first_name": "DAN",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-25",
        "last_updated": "2014-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Tim Ellestad
• Yakub A. Ellias, MD
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• Luke Ellickson, DDS
• Kayla Ellifson, PT

• Physical Therapy Assistant in Madison, WI
• Providers in Madison, WI by specialty
• Physical Therapy Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2014; 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.