Timothy Edward Ellis in High Point - Physical Therapist

Timothy Edward Ellis - NPI 1124013008

Timothy Edward Ellis is a Physical Therapist in High Point, North Carolina. Timothy Edward Ellis practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Timothy Edward Ellis is 1124013008. The last update date is 2016-05-18.

Timothy Edward Ellis's current location address is 1030 Mall Loop Rd, High Point, North Carolina. You can contact this provider via phone number 3367814320 and fax number 3367814321. The mailing address for Timothy Edward Ellis is 1030 Mall Loop Rd, High Point, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Timothy Edward Ellis
Address 1030 Mall Loop Rd, High Point, North Carolina
Phone Number 3367814320
Fax Number 3367814321
Sole Proprietor N
Credentials DPT

NPI Number Detail

NPI Number 1124013008
Provider Enumeration Date 2005-09-15
Last Updated Date 2016-05-18

Provider Mailing Address Detail

Address 1030 Mall Loop Rd
City High Point
State North Carolina (NC)
Post Code 272627656
Phone Number 3367814320
Fax Number 3367814321

Provider's Primary Taxonomy Detail

Speciality Physical Therapist
Taxonomy 225100000X
Licence No 7894
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
2504001 NC MEDICARE - TYPE UNSPECIFIED
078GJ NC BCBS

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FAQs about Timothy Edward Ellis

What is the unique provider identifier assigned to Timothy Edward Ellis?

The Timothy Edward Ellis has been issued the NPI (National Provider Identifier) 1124013008 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please provide the complete street address where Timothy Edward Ellis is physically located?

The Timothy Edward Ellis is physically situated at the following address: 1030 Mall Loop Rd, High Point, NC, 272627656.

What is the Timothy Edward Ellis's specialty and taxonomy code?

The Timothy Edward Ellis's specialty is Physical Therapist, and the corresponding taxonomy code is 225100000X.

When did the Timothy Edward Ellis receive its 1124013008?

The Timothy Edward Ellis was issued its 1124013008 on 2005-09-15, which is the date when the organization was assigned this unique identifier.

As of what date were the details related to Timothy Edward Ellis most recently updated or revised?

The information pertaining to Timothy Edward Ellis, including its address, specialty, and other relevant details, was last updated or revised on 2016-05-18.

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