Active NPI
Cynthia Lynn Ellis, ATC, PTA
- Physical Therapy Assistant
- Knoxville, TN
National Provider Identifier
1962479808
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 0000004242
- Practice address
- 1800 Volunteer Blvd
Knoxville, TN 37996-3102 - Phone
- (865) 974-5663
- Fax
- (865) 974-5575
- NPI assigned
- Feb 28, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 0000004242 | TN | Primary |
| Athletic Trainer | 2255A2300X | 0000000541 | TN |
Addresses
Primary practice location
1800 Volunteer Blvd
Knoxville, TN 37996-3102
Mailing address
1800 Volunteer Blvd
Knoxville, TN 37996-3102
Phone (865) 974-5663
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0000004242 | TN | MD | Physical Therapy Assistant |
| 0000000541 | TN | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774396800000",
"number": "1962479808",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 VOLUNTEER BLVD",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379963102",
"telephone_number": "865-974-5663",
"fax_number": "865-974-5575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 VOLUNTEER BLVD",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379963102",
"telephone_number": "865-974-5663",
"fax_number": "865-974-5575"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELLIS",
"first_name": "CYNTHIA",
"middle_name": "LYNN",
"name_prefix": "Miss",
"credential": "ATC, PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-28",
"last_updated": "2026-03-25",
"certification_date": "2026-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "TN",
"license": "0000004242",
"primary": true
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "TN",
"license": "0000000541",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Knoxville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.