Active NPIIndividual provider

Mr. Cory Ellis, PTA

Physical Therapy Assistant in Brewer, Maine

NPI Number1538452255
Practice location
248 State Street, Brewer, ME 04412
Fax
207-989-5971
Last updated
May 27, 2011

Cory Ellis is a Physical Therapy Assistant based in Brewer, ME. Cory Ellis practices in Brewer, ME and has the professional credentials of PTA. The NPI Number for Cory Ellis is 1538452255 and holds a License No. PA3258 (ME). The current practice location address for Cory Ellis is 248 State Street, Brewer, ME 04412 and can be reached out via phone at 207-989-2034 and via fax at 207-989-5971.

Provider Profile Details

NPI Number
1538452255
Provider Name
Cory Ellis
Credential
PTA
Provider Entity Type
Individual
Gender
Male
Address
248 State Street, Brewer, ME 04412
Phone Number
207-989-2034
Fax Number
207-989-5971
Primary Taxonomy
Physical Therapy Assistant · 225200000X
Sole Proprietor
No
Provider Enumeration Date
May 27, 2011
Last Update Date
May 27, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
248 State Street
Brewer, ME 04412
City
Brewer
State
Maine
Zip
04412
Phone Number
207-989-2034
Fax Number
207-989-5971
Brewer, ME 04412Get directions →

Provider Business Mailing Address Details

Address
248 State St
Brewer, ME 04412-1519
City
Brewer
State
ME
Zip
04412-1519
Phone Number
207-989-2034
Fax Number
207-989-5971

License Information

License Number
PA3258
License State
ME
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 Mr. Cory Ellis, PTA?

The NPI number of Mr. Cory Ellis, PTA is 1538452255. It was assigned on May 27, 2011 and is currently active in the NPPES registry.

What is the specialty of Mr. Cory Ellis, PTA?

Mr. Cory Ellis, PTA is registered under the primary taxonomy Physical Therapy Assistant (code 225200000X), licensed in ME under license number PA3258.

Where does Mr. Cory Ellis, PTA practice?

The practice location is 248 State Street, Brewer, ME 04412. The office can be reached at 207-989-2034 (phone) or 207-989-5971 (fax).

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 1538452255 directly on the NPPES registry website.

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