Mr Kelly Wynell Ellis, PTA - Physical Medicine & Rehabilitation in Toledo, OH

Mr Kelly Wynell Ellis, PTA is a Physical Medicine & Rehabilitation physician based in Toledo, Ohio. Mr Kelly Wynell Ellis is licensed to practice in Ohio (license number PTA007644) and his current practice location is 5502 San Juan Dr, Toledo, Ohio. He can be reached at his office (for appointments etc.) via phone at (419) 410-7741.

NPI number for Mr Kelly Wynell Ellis is 1205455789 and his current mailing address is 5502 San Juan Dr, Toledo, Ohio. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1205455789.

Contact Information

Mr Kelly Wynell Ellis, PTA
5502 San Juan Dr,
Toledo, OH 43612-3336
(419) 410-7741
Not Available

Map and Direction




Physician's Profile

Full NameMr Kelly Wynell Ellis
GenderMale
SpecialityPhysical Medicine & Rehabilitation
Location5502 San Juan Dr, Toledo, Ohio
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1205455789
  • Provider Enumeration Date: 04/14/2020
  • Last Update Date: 04/14/2020

Medical Identifiers

Medical identifiers for Mr Kelly Wynell Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205455789NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208100000XPhysical Medicine & Rehabilitation PTA007644 (Ohio)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Kelly Wynell Ellis is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Kelly Wynell Ellis, PTA
5502 San Juan Dr,
Toledo, OH 43612-3336

Ph: (419) 410-7741
Mr Kelly Wynell Ellis, PTA
5502 San Juan Dr,
Toledo, OH 43612-3336

Ph: (419) 410-7741

Reviews and Comments


Physical Medicine & Rehabilitation Doctors in Toledo, OH

Susan G. Rice, M.D.
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Medicare: Not Enrolled in Medicare
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Phone: 419-531-2232    Fax: 419-531-2359
Jennifer Kalbus, MD
Physical Medicine & Rehabilitation
Medicare: Medicare Enrolled
Practice Location: 2222 Cherry St Ste 2000, Toledo, OH 43608
Phone: 419-251-8015    
Dr. John T Kane, M.D.
Physical Medicine & Rehabilitation
Medicare: Not Enrolled in Medicare
Practice Location: 3065 Arlington Ave, Toledo, OH 43614
Phone: 419-383-4022    Fax: 419-383-3106
Ryan Michael Szepiela, M.D.
Physical Medicine & Rehabilitation
Medicare: Accepting Medicare Assignments
Practice Location: 2865 N Reynolds Rd, Suite 160, Toledo, OH 43615
Phone: 419-578-4277    Fax: 419-537-5630
Dr. Rekha Trivedi, M.D.
Physical Medicine & Rehabilitation
Medicare: Not Enrolled in Medicare
Practice Location: 3900 Sunforest Ct, Ste 215, Toledo, OH 43623
Phone: 419-475-2134    
Dr. Steven J Farrell, M.D.
Physical Medicine & Rehabilitation
Medicare: Accepting Medicare Assignments
Practice Location: 3065 Arlington Ave, Toledo, OH 43614
Phone: 419-383-5000    Fax: 419-383-3398

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.