Brian Jon Ellingworth in Mankato - Physical Therapist
Brian Jon Ellingworth - NPI 1861450504
Brian Jon Ellingworth is a Physical Therapist in Mankato, Minnesota. Brian Jon Ellingworth practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Brian Jon Ellingworth is 1861450504. The last update date is 2011-07-22.
Brian Jon Ellingworth's current location address is 1431 Premier Dr, Mankato, Minnesota. You can contact this provider via phone number 5073866700 and fax number 5073888372. The mailing address for Brian Jon Ellingworth is 1431 Premier Dr, Mankato, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brian Jon Ellingworth |
|---|---|
| Address | 1431 Premier Dr, Mankato, Minnesota |
| Phone Number | 5073866700 |
| Fax Number | 5073888372 |
| Sole Proprietor | N |
| Credentials | PT |
NPI Number Detail
| NPI Number | 1861450504 |
|---|---|
| Provider Enumeration Date | 2006-05-03 |
| Last Updated Date | 2011-07-22 |
Provider Mailing Address Detail
| Address | 1431 Premier Dr |
|---|---|
| City | Mankato |
| State | Minnesota (MN) |
| Post Code | 560016076 |
| Phone Number | 5073866700 |
| Fax Number | 5073888372 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
| Licence No | 3052 |
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Definition: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 103183C572 | MN | UCARE MN | |
| 6404967 | MN | MEDICA, WATERVILLE | |
| 983181027668 | MN | PREFERRED ONE | |
| 11F45EL | MN | BCBS OF MN | |
| 6404857 | MN | MEDICA, MANKATO | |
| H035 | MN | TRICARE | |
| HP43586 | MN | HEALTH PARTNERS |
Post Comment/ Review Below
What is the Brian Jon Ellingworth's unique identification number?
The Brian Jon Ellingworth has been assigned the NPI (National Provider Identifier) Number 1861450504 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Brian Jon Ellingworth's facilities are situated?
The facilities of Brian Jon Ellingworth are physically located at the following address: 1431 Premier Dr, Mankato, MN, 560016076.
What is the Brian Jon Ellingworth's specialty and taxonomy code?
The Brian Jon Ellingworth's specialty is Physical Therapist, and the corresponding taxonomy code is 225100000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1861450504 to Brian Jon Ellingworth?
The Centers for Medicare & Medicaid Services originally issued the 1861450504 to Brian Jon Ellingworth on 2006-05-03.
As of what date were the Brian Jon Ellingworth's details last updated?
The information pertaining to the Brian Jon Ellingworth, including its address, specialty, and other details, was most recently updated on 2011-07-22.