Individual provider Active NPI

Cynthia Lynn Ellis, ATC, PTA

  • Physical Therapy Assistant
  • Knoxville, TN
National Provider Identifier
1962479808
Registry record updated Mar 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
0000004242 Issued in TN
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

Updated by the provider on Mar 25, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
0000004242TNMDPhysical Therapy Assistant
0000000541TNMDAthletic 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.

Verify at the official NPI Registry.