Keith A Ellis (NPI# 1972823367, PAC ID# 1658404793) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1972823367 |
| PAC ID by PECOS | 1658404793 |
| Professional Enrollment ID | I20100727000271 |
| Full Name | Keith A Ellis |
| Organization Legal Name | INNOVATIVE PHYSICAL THERAPY LLC |
| Address |
751 E Porter Ave Suite 2 Chesterton IN 46304-9111 |
| Phone Number | 21992658501 |
| Gender | M |
| Graduation Year | 2009 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 0941506406 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 751 E Porter Ave, Suite 2, Chesterton, IN 46304-9111 | 21992658501 | INNOVATIVE PHYSICAL THERAPY LLC |
| Organization Legal Name | INNOVATIVE PHYSICAL THERAPY LLC |
| Physicians | 19 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer Nicole Racette | Physical Therapy | Innovative Physical Therapy LLC | 751 E Porter Ave, Suite 2, Chesterton, IN 46304-9111 |
| Jacqueline Kochmer | Physical Therapy | Innovative Physical Therapy LLC | 560 Broadview Ave, Suite 201, Warrenton, VA 20186-2046 |
| Abigail C Beattie | Physical Therapy | Innovative Physical Therapy LLC | 5350 Manhattan Cir, Suite 100, Boulder, CO 80303-4272 |
| Kelly L Duda | Physical Therapy | Innovative Physical Therapy LLC | 5350 Manhattan Cir, Suite 100, Boulder, CO 80303-4272 |
| Alexandra Sanya Trask | Physical Therapy | Innovative Physical Therapy LLC | 560 Broadview Ave, Suite 201, Warrenton, VA 20186-2046 |
| Lisa C Slavin | Physical Therapy | Innovative Physical Therapy LLC | 751 E Porter Ave, Suite 2, Chesterton, IN 46304-9111 |
| Julie M Royal | Physical Therapy | Innovative Physical Therapy LLC | 560 Broadview Ave, Suite 201, Warrenton, VA 20186-2046 |
| Julie V Edelman | Physical Therapy | Innovative Physical Therapy LLC | 5350 Manhattan Cir, Suite 100, Boulder, CO 80303-4272 |
| Heather Laferriere | Physical Therapy | Innovative Physical Therapy LLC | 5350 Manhattan Cir, Suite 100, Boulder, CO 80303-4272 |
| Jessica Bishop | Physical Therapy | Innovative Physical Therapy LLC | 5350 Manhattan Cir, Suite 100, Boulder, CO 80303-4272 |
| Street Address |
751 E PORTER AVE SUITE 2 |
| City | CHESTERTON |
| State | IN |
| Zip | 46304-9111 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer Nicole Racette | Physical Therapy | Innovative Physical Therapy LLC | 751 E Porter Ave, Suite 2, Chesterton, IN 46304-9111 |
| Lisa C Slavin | Physical Therapy | Innovative Physical Therapy LLC | 751 E Porter Ave, Suite 2, Chesterton, IN 46304-9111 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sharmilee Thota | Obstetrics/gynecology | Franciscan Physician Network | 770 Indian Boundary Rd, Chesterton, IN 46304-1519 |
| Rachael E Callaway | Nurse Practitioner | Franciscan Physician Network | 770 Indian Boundary Rd, Chesterton, IN 46304-1519 |
| Brenda E Winski | Nurse Practitioner | Illinois Dermatology Institute LLC | 770 Indian Boundary Rd, Chesterton, IN 46304-1519 |
| Daryl D Wisdom | Emergency Medicine | Epmg of Indiana PC | 770 Indian Boundary Rd, Chesterton, IN 46304-1519 |
| Alexander Molina | Family Medicine | Franciscan Physician Network | 770 Indian Boundary Rd, Suite 200, Chesterton, IN 46304-1519 |
| Jennifer Davison | Nurse Practitioner | Franciscan Physician Network | 770 Indian Boundary Rd, Chesterton, IN 46304-1519 |
| Brittany Marie Carr | Physician Assistant | Franciscan Physician Network | 770 Indian Boundary Rd, Chesterton, IN 46304-1519 |
| Jeffery P Demko | Chiropractic | Fordem Health LLC | 770 Indian Boundary Rd, Chesterton, IN 46304-1519 |
| Ruchik S Desai | Dermatology | Illinois Dermatology Institute LLC | 770 Indian Boundary Rd, Chesterton, IN 46304-1519 |
| Robyn K Mulvihill | Nurse Practitioner | Fordem Health LLC | 770 Indian Boundary Rd, Chesterton, IN 46304-1519 |
| Find all physicians in zip 46304 | |||
| City | CHESTERTON |
| Zip Code | 46304 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | CHESTERTON + PHYSICAL THERAPY |
Please comment or provide details below to improve the information on Keith A Ellis.
| 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.