Vivian Beatrice Ellis, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1033876 Issued in TX

Practice address

305 W Mill St
Livingston, TX 77351

Phone

(936) 327-4084

Fax

(936) 327-1201

NPI assigned

May 23, 2005

Last updated

Jun 4, 2018By the provider in NPPES

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

Other identifiers 2

Other names 1

• Vivian B Helmontoller Former name

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Livingston Physical Therapy PCGroup PAC ID 9234022641, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Livingston Physical Therapy PC

  • Physical Therapist
  • Livingston, TX
  • NPI 1215930326
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528070400000",
    "number": "1902809049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 W MILL ST",
            "city": "LIVINGSTON",
            "state": "TX",
            "postal_code": "773513226",
            "telephone_number": "936-327-4084",
            "fax_number": "936-327-1201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 W MILL ST",
            "city": "LIVINGSTON",
            "state": "TX",
            "postal_code": "77351",
            "telephone_number": "936-327-4084",
            "fax_number": "936-327-1201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "VIVIAN",
        "middle_name": "BEATRICE",
        "name_prefix": "Ms.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-23",
        "last_updated": "2018-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1033876",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS BLUE LINK",
            "identifier": "0069361",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PAR PLAN PROVIDER #",
            "identifier": "8T0329",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VIVIAN",
            "last_name": "HELMONTOLLER",
            "middle_name": "B",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Harshil Dudhia
• Tieifa Raquel Dueberry, PTA
• Jimmy Lee Dunham, LPC
• Dysphagia View 360, PLLC
• East Texas Therapy Centers, LLC
• Emergency Care of Livingston-Physicians, PLLC
• Emergency Care of Livingston, LLC
• Emergency Hospitals of Texas - Livingston, PLLC
• Emrd Ventures, PLLC (Precise Urgent Care)
• Exceptional Health Care Livingston LLC

• Physical Therapist in Livingston, TX
• Providers in Livingston, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2018; 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.

Verify at the official NPI Registry.