Nicole Ellis, PT, DPT in Bloomfield, NJ - Medicare Physical Therapy Provider

Nicole Ellis, PT, DPT is a medicare enrolled "Physical Therapist" provider in Bloomfield, New Jersey. She graduated from medical school in 2020 and has 4 years of diverse experience with area of expertise as Physical Therapy. She is a member of the group practice Ivyrehab Network Inc and her current practice location is 1255 Broad St Ste 207, Bloomfield, New Jersey. You can reach out to her office (for appointments etc.) via phone at (973) 893-9300.

Nicole Ellis is licensed to practice in New Jersey (license number 40QA01974800) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1912594144.

Contact Information

	Nicole Ellis, PT, DPT
	1255 Broad St Ste 207, Bloomfield, NJ 07003-3061
	(973) 893-9300
	(973) 893-0073

Map and Direction

Healthcare Provider's Profile

Full Name	Nicole Ellis
Gender	Female
Speciality	Physical Therapy
Experience	4 Years
Location	1255 Broad St Ste 207, Bloomfield, New Jersey
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Nicole Ellis graduated from medical school in 2020

NPI Data:

NPI Number: 1912594144
Provider Enumeration Date: 12/22/2020
Last Update Date: 12/22/2020

Medicare PECOS Information:

PECOS PAC ID: 9830503507
Enrollment ID: I20210121001088

Medical Identifiers

Medical identifiers for Nicole Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1912594144	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	40QA01974800 (New Jersey)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Ivyrehab Network Inc	3476539776	463

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Nicole Ellis allows following entities to bill medicare on her behalf.

Provider Name	Ivyrehab Network Inc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1861623753 PECOS PAC ID: 3476539776 Enrollment ID: O20040628000865

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. Nicole Ellis is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Nicole Ellis, PT, DPT 1377 Motor Pkwy Ste 307, Islandia, NY 11749-5258 Ph: (631) 580-5200	Nicole Ellis, PT, DPT 1255 Broad St Ste 207, Bloomfield, NJ 07003-3061 Ph: (973) 893-9300

Reviews and Comments

Physical Therapist in Bloomfield, NJ

Luningning Tuazon Lozada, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 135 Bloomfield Ave, 2nd Floor, Suite C, Bloomfield, NJ 07003 Phone: 973-429-0045 Fax: 973-429-8161
Dr. Frank Bennett Jr., DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 40 Conger St Apt 901b, Bloomfield, NJ 07003 Phone: 609-954-6798
Nimphanida Calvo, PHYSICAL THERAPIST Physical Therapist Medicare: Medicare Enrolled Practice Location: 9 Bolten Pl, Bloomfield, NJ 07003 Phone: 201-757-3473
Professional Occupational & Physical Therapy, Pllc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 31 Broad St, Bloomfield, NJ 07003 Phone: 631-359-5800
Mrs. Ana L Pozzoli, P.T. Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 1018 Broad St, Suite 1, Bloomfield, NJ 07003 Phone: 973-429-0890 Fax: 973-748-8661
Ace Frianeza, Physical Therapist Medicare: Medicare Enrolled Practice Location: 2 Broad St Ste 1a, Bloomfield, NJ 07003 Phone: 862-333-3020 Fax: 862-279-6912
Mrs. Materesita Ayuban Antonsson, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 267 Spruce St, Bloomfield, NJ 07003 Phone: 973-748-9578

Nicole Ellis, PT, DPT - Medicare Physical Therapist in Bloomfield, NJ