Ellen Elizabeth Ellis, PT, DPT | |
1703 John B White Sr Blvd Ste F, Spartanburg, SC 29301-5486 | |
(864) 754-3937 | |
Not Available |
Full Name | Ellen Elizabeth Ellis |
---|---|
Gender | Female |
Speciality | Physical Therapy |
Experience | 12 Years |
Location | 1703 John B White Sr Blvd Ste F, Spartanburg, South Carolina |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497413181 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 10663 (South Carolina) | Primary |
225100000X | Physical Therapist | 14664 (Tennessee) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Agilitas Usa Inc | 3375454648 | 681 |
Results-ast Jv Llc | 4486066396 | 350 |
Provider Name | Independent Physical Therapy Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1104878354 PECOS PAC ID: 9335056308 Enrollment ID: O20040928000202 |
Provider Name | Agilitas Usa Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1962417444 PECOS PAC ID: 3375454648 Enrollment ID: O20041115000337 |
Provider Name | Results-ast Jv Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1780291948 PECOS PAC ID: 4486066396 Enrollment ID: O20201217003061 |
Mailing Address | Practice Location Address |
---|---|
Ellen Elizabeth Ellis, PT, DPT 308 Belgray Ct, Taylors, SC 29687-4098 Ph: (423) 612-0814 | Ellen Elizabeth Ellis, PT, DPT 1703 John B White Sr Blvd Ste F, Spartanburg, SC 29301-5486 Ph: (864) 754-3937 |
Mr. David W Pegram, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1075 Boiling Springs Rd, Spartanburg, SC 29303 Phone: 864-580-2001 Fax: 864-580-2003 | |
Nicholas Wayne Walker, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1460 John B White Sr Blvd Ste 1b, Spartanburg, SC 29306 Phone: 864-587-6205 | |
Madison Brooke Tamberino, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2125 E Main St Unit 400, Spartanburg, SC 29307 Phone: 864-285-3615 | |
Dr. Kurt Erwin Garber, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 170 Camelot Dr, Suite B, Spartanburg, SC 29301 Phone: 864-583-6420 Fax: 864-327-9044 | |
Senior Rehab Source Physical Therapist Medicare: Medicare Enrolled Practice Location: 2902 E Main Street Ext, Spartanburg, SC 29307 Phone: 864-266-3536 | |
Mrs. Kelley Anne Murray, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2932 Reidville Rd Ste D, Spartanburg, SC 29301 Phone: 864-200-1433 Fax: 352-592-9921 | |
Marcia Traviss Stevens, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 151 Ribault St, Spartanburg, SC 29302 Phone: 864-560-2878 |