Theodore R Ellis


Address: 150 Strafford Ave, Suite 230, Wayne, PA 19087-3100

Theodore R Ellis (NPI# 1275616880, PAC ID# 0446321913) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.

Physician Overview

Nation Provider ID (NPI) 1275616880
PAC ID by PECOS 0446321913
Professional Enrollment ID I20110620000568
Full Name Theodore R Ellis
Address 150 Strafford Ave
Suite 230
Wayne
PA 19087-3100
Gender M
Graduation Year 1988
Primary Specialty PHYSICAL THERAPY
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
150 Strafford Ave, Suite 230, Wayne, PA 19087-3100

Organization Information

Office Location

Street Address 150 STRAFFORD AVE
SUITE 230
City WAYNE
State PA
Zip 19087-3100

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Paulo M Correa-meyer Ophthalmology 1107 W Valley Rd, Wayne, PA 19087-1466
Alexandr G Zilber Anesthesiology Laser Spine Institute LLC 656 E Swedesford Rd, Suite 100, Wayne, PA 19087-1622
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Megan E Ulmer Nurse Practitioner Laser Spine Institute LLC 656 E Swedesford Rd, Suite 100, Wayne, PA 19087-1622
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Competitor

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City WAYNE
Zip Code 19087
Specialty PHYSICAL THERAPY
City + Specialty WAYNE + PHYSICAL THERAPY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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