Active NPIIndividual provider

Stacy Ellis, PTA

Physical Therapy Assistant in Somerset, Massachusetts

NPI Number1043687098
Practice location
455 Brayton Ave, Somerset, MA 02726-2642
Fax
—
Last updated
August 25, 2015

Stacy Ellis is a Physical Therapy Assistant based in Somerset, MA. Stacy Ellis practices in Somerset, MA and has the professional credentials of PTA. The NPI Number for Stacy Ellis is 1043687098 and holds a License No. 2826 (MA). The current practice location address for Stacy Ellis is 455 Brayton Ave, Somerset, MA 02726-2642 and can be reached out via phone at 508-679-2240.

Provider Profile Details

NPI Number
1043687098
Provider Name
Stacy Ellis
Credential
PTA
Provider Entity Type
Individual
Gender
Female
Address
455 Brayton Ave, Somerset, MA 02726-2642
Phone Number
508-679-2240
Primary Taxonomy
Physical Therapy Assistant · 225200000X
Sole Proprietor
No
Provider Enumeration Date
August 25, 2015
Last Update Date
August 25, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
455 Brayton Ave
Somerset, MA 02726-2642
Zip
02726-2642
Phone Number
508-679-2240
Somerset, MA 02726Get directions →

Provider Business Mailing Address Details

Address
Po Box 9242
Fall River, MA 02720-0005
City
Fall River
State
MA
Zip
02720-0005
Phone Number
774-319-7930

License Information

License Number
2826
License State
MA
Taxonomy
Physical Therapy Assistant · 225200000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Stacy Ellis, PTA?

The NPI number of Stacy Ellis, PTA is 1043687098. It was assigned on August 25, 2015 and is currently active in the NPPES registry.

What is the specialty of Stacy Ellis, PTA?

Stacy Ellis, PTA is registered under the primary taxonomy Physical Therapy Assistant (code 225200000X), licensed in MA under license number 2826.

Where does Stacy Ellis, PTA practice?

The practice location is 455 Brayton Ave, Somerset, MA 02726-2642. The office can be reached at 508-679-2240 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1043687098 directly on the NPPES registry website.

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