MR. MICHAEL WILLIAM ELLIS (NPI# 1235788936) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235788936 |
| Entity Type | Individual |
| Full Name | MR. MICHAEL WILLIAM ELLIS |
| Credential | PTA |
| Practice Address |
12441 Se Stark St Portland OR 97233-1053 |
| Mailing Address |
3123 Ne 29th St Apt 306 Gresham OR 97030-4372 |
| Practice Telephone | 5032557040 |
| Mailing Telephone | 9713209799 |
| Enumeration Date | 2019-09-05 |
| Last Update Date | 2019-09-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | 09797 | PA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184288961 | Michael Frederick Ellis | Social Worker | 2913 Pleasant Valley Avenue, Suite 125, Winchester, VA 22601 | 2019-04-26 |
| 1679066286 | Michael Elizabeth Ellis | Behavior Technician | 909 W Main St Ste 4, Jacksonville, AR 72076-4025 | 2018-06-08 |
| 1275023087 | Michael Ellis | Counselor | 3820 Melissa Dr, Harvey, LA 70058 | 2018-05-16 |
| 1174042048 | Michael Ellis | Technician | 215 Savannah St Se Unit A, Washington, DC 20032-5473 | 2017-09-12 |
| 1972986693 | Michael Joseph Ellis | Internal Medicine | 4057 Asbury Ave Ste 21, Tinton Falls, NJ 07753-7700 | 2015-06-30 |
| 1467762393 | Michael Flint Ellis | Counselor | 230 Rachel Carson Way, Ithaca, NY 14850-8401 | 2010-10-13 |
| 1003968983 | Michael Roy Ellis | Dentist | 789 Farmington Ave, Bristol, CT 06010-3919 | 2007-01-18 |
| 1407921638 | Michael Ray Ellis | Dentist | 406 West Upshur Ave, Gladewater, TX 75647 | 2006-11-22 |
| 1003981671 | Michael Alan Ellis | Psychiatry & Neurology | 2000 16th Avenue, Columbus, GA 31901-1665 | 2006-11-21 |
| 1174624951 | Michael Seward Ellis | Social Worker | 107 Windel Dr Ste 213, Raleigh, NC 27609-4471 | 2006-09-26 |
| Street Address |
12441 SE STARK ST |
| City | PORTLAND |
| State | OR |
| Zip Code | 97233-1053 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497703110 | Evergreen Oregon Healthcare Portland, L.L.C. | Skilled Nursing Facility | 12441 Se Stark St, Portland, OR 97233-1053 | 2006-05-05 |
| 1447727995 | Ilana G Reinholtz | Occupational Therapist | 12441 Se Stark St, Portland, OR 97233-1053 | 2018-11-01 |
| 1033622386 | David Anthony Alarcon | Speech-Language Pathologist | 12441 Se Stark St, Portland, OR 97233-1053 | 2017-11-08 |
| 1972027423 | Katlin Snow | Physical Therapist | 12441 Se Stark St, Portland, OR 97233-1053 | 2017-07-26 |
| 1154851533 | Heidi Jo Aiken | Occupational Therapy Assistant | 12441 Se Stark St, Portland, OR 97233-1053 | 2017-06-18 |
| 1811346208 | Marie Schlosser | Physical Therapist | 12441 Se Stark St, Portland, OR 97233-1053 | 2016-06-07 |
| 1255688628 | Melanie Elaine Dickson | Speech-Language Pathologist | 12441 Se Stark St, Portland, OR 97233-1053 | 2012-08-05 |
| 1306086996 | Julie Malcom Carey | Physical Therapy Assistant | 12441 Se Stark St, Portland, OR 97233-1053 | 2009-02-23 |
| 1043466493 | Jennifer Ann Oliver | Physical Therapy Assistant | 12441 Se Stark St, Portland, OR 97233-1053 | 2008-08-15 |
| 1194981464 | Rachel Ann Renick | Specialist | 12441 Se Stark St, Portland, OR 97233-1053 | 2008-08-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205448164 | Moore Therapy Services, LLC | Behavioral Analyst | 2053 Se 181st Ave, Portland, OR 97233 | 2020-08-20 |
| 1427563733 | Central City Concern Inc | Clinic/Center | 1415 Se 122nd Ave, Portland, OR 97233 | 2017-12-08 |
| 1427573443 | Sunshine Ahc | In Home Supportive Care | 2217 Se 156th Ave, Portland, OR 97233 | 2017-08-10 |
| 1538609433 | Nathaniel Davis Jr. | Counselor | 8915 Se Center St, Tigard, OR 97233 | 2017-02-27 |
| 1154878627 | Oregon Outreach Inc | Case Management | 1740 South East 139th Avenue, Portland, OR 97233 | 2016-09-01 |
| 1023461019 | Julianne Baltzley | Counselor | 2409 Se 149th Avenue, Portland, OR 97233 | 2016-07-14 |
| 1710332143 | Emma Slater | Counselor | 12360 Se Burnside, Portland, OR 97233 | 2016-05-04 |
| 1245621952 | Gregory Brett Bledsoe | Counselor | 1427 Se 182nd Ave., Portland, OR 97233 | 2015-02-17 |
| 1396149852 | Jacqueline Bension | Counselor | 1705 Se 122nd Ave, Portland, OR 97233 | 2014-10-13 |
| 1700206950 | Olga I Zlatova I | Dental Hygienist | 325 Se 154th Ave, Portland, OR 97233 | 2014-04-25 |
| Find all providers in zip 97233 | ||||
| Taxonomy Code | 225200000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapy Assistant |
| (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of the physical therapist assistant. The PTA performs physical therapy procedures and related tasks that have been selected and delegated by the supervising physical therapist. Duties of the PTA include assisting the physical therapist in implementing treatment programs, training patients in exercised and activities of daily living, conducting treatments, and reporting to the physical therapist on the patient’s responses. In addition to direct patient care, the PTA may also perform such functions as patient transport, and clinic or equipment preparation and maintenance. Currently more than half of all states require PTAs to be licensed, registered or certified. (2) An individual who works under the supervision of a physical therapist to assist him or her in providing physical therapy services. A physical therapy assistant may, for instance, help patients follow an appropriate exercise program that will increase their strength, endurance, coordination, and range of motion and train patients to perform activities of daily life. |
| Notes: Source: (1) American Physical Therapy Association, P.O. Box 37257, Washington, D.C. 20013. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679134001 | Arielle Oosten | Physical Therapy Assistant | 22 Bramhall St Rm 4602, Portland, ME 04102-3175 | 2019-06-26 |
| 1063996312 | Maximilian Torres | Physical Therapy Assistant | 4602 Sw 53rd Ave, Portland, OR 97221 | 2018-09-22 |
| 1578099768 | Mary Ferrell | Physical Therapy Assistant | 1675 Sw Marlow Ave Ste 400, Portland, OR 97225-5102 | 2017-05-07 |
| 1982139648 | Ann Marie Mullen | Physical Therapy Assistant | 4001 Ne Halsey St, Ste. 100, Portland, OR 97232-1849 | 2017-05-01 |
| 1134665045 | Cassandra Stephens | Physical Therapy Assistant | 1100 Se 12th Ave, 423, Portland, OR 97214-3792 | 2017-01-17 |
| 1083003537 | Jose Mejia | Physical Therapy Assistant | 1090 Lang Rd, Apt. 4207, Portland, TX 78374-3101 | 2015-01-21 |
| 1427446343 | Desarae Escamilla | Physical Therapy Assistant | 1136 Imperial St, Portland, TX 78374-4225 | 2014-12-30 |
| 1083013262 | Sandra Eberwein | Physical Therapy Assistant | 1736 Se 36th Ave, Portland, OR 97214-5126 | 2014-08-14 |
| 1396167821 | Sara Zimmerman | Physical Therapy Assistant | 1775 Se 139th Ave, Portland, OR 97233-2310 | 2014-01-17 |
| 1386917565 | Leslie Anne Mcintyre | Physical Therapy Assistant | 7325 Se 32nd Ave, Portland, OR 97202-8544 | 2012-02-17 |
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| 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.