Nicole Ellis, PT, DPT
Physical Therapist in Bloomfield, New Jersey
1912594144- Practice location
- 1255 Broad St Ste 207, Bloomfield, NJ 07003-3061
- Phone
- 973-893-9300
- Fax
- 973-893-0073
- Last updated
- December 22, 2020
Nicole Ellis is a Physical Therapist based in Bloomfield, NJ. Nicole Ellis practices in Bloomfield, NJ and has the professional credentials of PT, DPT. The NPI Number for Nicole Ellis is 1912594144 and holds a License No. 40QA01974800 (NJ). The current practice location address for Nicole Ellis is 1255 Broad St Ste 207, Bloomfield, NJ 07003-3061 and can be reached out via phone at 973-893-9300 and via fax at 973-893-0073.
Provider Profile Details
- NPI Number
- 1912594144
- Provider Name
- Nicole Ellis
- Credential
- PT, DPT
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1255 Broad St Ste 207, Bloomfield, NJ 07003-3061
- Phone Number
- 973-893-9300
- Fax Number
- 973-893-0073
- Primary Taxonomy
- Physical Therapist · 225100000X
- Sole Proprietor
- No
- Provider Enumeration Date
- December 22, 2020
- Last Update Date
- December 22, 2020
- Certification Date
- December 22, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1255 Broad St Ste 207
Bloomfield, NJ 07003-3061 - City
- Bloomfield
- State
- New Jersey
- Zip
- 07003-3061
- Phone Number
- 973-893-9300
- Fax Number
- 973-893-0073
Provider Business Mailing Address Details
- Address
- 1377 Motor Pkwy Ste 307
Islandia, NY 11749-5258 - City
- Islandia
- State
- NY
- Zip
- 11749-5258
- Phone Number
- 631-580-5200
- Fax Number
- 631-760-8306
License Information
- License Number
- 40QA01974800
- License State
- NJ
- Taxonomy
- Physical Therapist · 225100000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Physical Therapists near Bloomfield, NJ
View all Physical Therapists in Bloomfield →- Aakash PatelPhysical Therapist · NPI 1922917012
- Aayushi Pandya, DPTPhysical Therapist · NPI 1740850866
- Ace FrianezaPhysical Therapist · NPI 1164206033
- Aimee Lynn O AbalosPhysical Therapist · NPI 1225214232
- Alexis LongPhysical Therapist · NPI 1508696162
- Alicia Brimmer, DPTPhysical Therapist · NPI 1356294078
Frequently Asked Questions
What is the NPI number of Nicole Ellis, PT, DPT?
The NPI number of Nicole Ellis, PT, DPT is 1912594144. It was assigned on December 22, 2020 and is currently active in the NPPES registry.
What is the specialty of Nicole Ellis, PT, DPT?
Nicole Ellis, PT, DPT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NJ under license number 40QA01974800.
Where does Nicole Ellis, PT, DPT practice?
The practice location is 1255 Broad St Ste 207, Bloomfield, NJ 07003-3061. The office can be reached at 973-893-9300 (phone) or 973-893-0073 (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 1912594144 directly on the NPPES registry website.