Individual provider · Type 1 NPI

Gary Arnold Ellis

Rehabilitation Practitioner · Fresno, CA

NPI number 1114690187 Active

Practice location

3765 W Dakota Ave
Fresno, CA 93722-4784

Mailing address

4460 W Shaw Ave # 595
Fresno, CA 93722-6210

Other practice locations

  • 3793 N Polk Ave, Fresno, CA 93722-9763 · (559) 271-1206
  • 2142 N Blythe Ave, Fresno, CA 93722-5402 · (559) 271-8421
  • 114 S Brawley Ave, Fresno, CA 93706-2103 · (559) 443-2166
  • 7171 W Rialto Ave, Fresno, CA 93723-9407 · (559) 271-8421

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Case Manager/Care Coordinator 171M00000XNone listed
Community Health Worker 172V00000XNone listed
Rehabilitation Practitioner Primary 225400000XNone listed

Rehabilitation Practitioner: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

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About NPI 1114690187

Gary Arnold Ellis's National Provider Identifier is 1114690187, issued on Jul 27, 2021. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in Fresno, CA. The record was last updated on Aug 11, 2025.