TED ELLQUIST, PT (NPI# 1053422485) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053422485 |
| Entity Type | Organization |
| Organization Name | TED ELLQUIST, PT |
| Other Organization Name | TED ELLQUIST, PT |
| Practice Address |
2466 Murdock Dr Santa Rosa CA 95404-2207 |
| Practice Telephone | 5033588278 |
| Mailing Telephone | 5033588278 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2010-09-20 |
| Authorized Official Name | TED IAN ELLQUIST (STAFF PT) |
| Authorized Official Telephone | 5033588278 |
| Authorized Official Credential | P.T. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
36493 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | CALIFORNIA LICENSE | 36493 | 01 |
| CA | PERSONAL NPI | 1770516734 | 01 |
| Other Name | Type Code |
|---|---|
| Ted Ellquist, PT | Other Name - Individual/Organization |
| Street Address |
2466 MURDOCK DR |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95404-2207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205442217 | David Lee Dutton | Counselor | 201 S. E Street, Santa Rosa, CA 95404 | 2020-09-16 |
| 1114492162 | Jesse Earl Rathbun Jr. | Ophthalmology | 1920 Grace Dr., Santa Rosa, CA 95404 | 2018-10-05 |
| 1568958437 | Bianca Avina | Marriage & Family Therapist | 95 Montgomery Dr. #112, Santa Rosa, CA 95404 | 2018-07-03 |
| 1366940504 | New Leaf Counseling and Psychotherapy | Marriage & Family Therapist | 1030 2n Street, Suite B, Santa Rosa, CA 95404 | 2018-01-23 |
| 1659884864 | Jessica Vargas Lopez | Counselor | 3333 Chanate Road, Santa Rosa, CA 95404 | 2017-11-09 |
| 1982135992 | Gaea Keridwyn Coon | Marriage & Family Therapist | 884 Third Street, Suite D, Santa Rosa, CA 95404 | 2017-03-22 |
| 1376084699 | Empire Traditional Chinese Medicine | Acupuncturist | 1030 Second St, Santa Rosa, CA 95404 | 2017-03-20 |
| 1356888705 | Webster Surgery Center, Lp | Clinic/Center | 730 Bennett Valley Road, Santa Rosa, CA 95404 | 2017-01-24 |
| 1205295979 | Sandra Lee Krikorian | Social Worker | 101 E Street, Suite 312, Santa Rosa, CA 95404 | 2016-02-23 |
| 1396134615 | The Center for Body Oriented Psychotherapy & Wellness | Psychologist | 1626 Fourth Street, Santa Rosa, CA 95404 | 2015-01-12 |
| Find all providers in zip 95404 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134264039 | Occupational Health Centers of California, A Medical Corporation | Clinic/Center | 1221 North Dutton Ave., Santa Rosa, CA 95401 | 2007-02-20 |
| 1376696914 | Department of Health Services | Clinic/Center | 2665a Dutton Mdw, Santa Rosa, CA 95407-7730 | 2007-01-18 |
| 1548277437 | Physiotherapy Associates Inc | Clinic/Center | 432 Aviation Blvd, Santa Rosa, CA 95403-1069 | 2006-08-02 |
| 1356389001 | Peltz and Associates Physical Therapy Inc | Clinic/Center | 140 Wikiup Drive, Santa Rosa, CA 95403 | 2006-06-03 |
| 1982689675 | Stithem & Johnson Physical Therapy, Inc. | Clinic/Center | 795 Farmers Ln, Santa Rosa, CA 95405-6718 | 2005-12-14 |
| 1366446916 | Novacare Outpatient Rehabilitation of California Inc | Clinic/Center | 1211 N Dutton Ave, Ste G, Santa Rosa, CA 95401-4638 | 2005-06-10 |
| 1174910962 | Naomi Kimball Physical Therapy | Clinic/Center | 2425 Cleveland Ave, Suite 135, Santa Rosa, CA 95403-2990 | 2015-04-20 |
| 1831386838 | Stithem & Johnson Physical Therapy Inc. | Clinic/Center | 6574 Oakmont Dr, Ste A, Santa Rosa, CA 95409-5958 | 2007-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467051839 | The Pelvic Model Physical Therapy, Inc. | Clinic/Center | 3761 Vinton Ave Apt 6, Los Angeles, CA 90034-5781 | 2020-10-18 |
| 1932707957 | Body In Motion Therapy, P.c | Clinic/Center | 1111 S Grand Ave Apt 708, Los Angeles, CA 90015-2169 | 2020-10-12 |
| 1992303275 | Vw Physical Therapy, Inc. | Clinic/Center | 100 Saybrook Ave, Vacaville, CA 95687-4129 | 2020-10-09 |
| 1730787094 | Movement System Institute Physiotherapy Inc | Clinic/Center | 508 Glenwood Rd Apt 102, Glendale, CA 91202-1572 | 2020-10-09 |
| 1538766530 | Sterling King Physical Therapy | Clinic/Center | 1820 Fullerton Ave Ste 280, Corona, CA 92881-3175 | 2020-10-03 |
| 1902403041 | Jha Geriatric Services, Inc | Clinic/Center | 12490 Fielding Circle, Suite 174, Playa Vista, CA 90094-3024 | 2020-10-01 |
| 1245847540 | Bespoke San Diego Physical Therapy PC | Clinic/Center | 2748 Ariane Dr, Unit 141, San Diego, CA 92117-3407 | 2020-09-30 |
| 1285241786 | Rapid Recovery Physical Therapy Inc | Clinic/Center | 39807 Paseo Padre Pkwy, Fremont, CA 94538-2974 | 2020-09-28 |
| 1053928697 | Bonnie Laine Lasher | Clinic/Center | 33772 Copper Lantern St Apt C, Dana Point, CA 92629-6427 | 2020-09-28 |
| 1295340792 | Naum Physical Therapy PC | Clinic/Center | 11405 Fulbourn Ct, Rancho Cucamonga, CA 91730-8341 | 2020-09-10 |
| Find all providers with the same taxonomy | ||||
| City | SANTA ROSA |
| Zip Code | 95404 |
Please comment or provide details below to improve the information on TED ELLQUIST, PT.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.