Individual provider · Type 1 NPI

Peter Mark Anthony Ellison Jr., DPT

Physical Therapist · Wallingford, CT

NPI number 1184359879 Active

Practice location

850 N Main Street Ext # 3B
Wallingford, CT 06492-2400

Call (203) 265-3790 Map

Fax (203) 265-2120

Mailing address

PO Box 866308
Plano, TX 75086-6308

Specialties and licenses

TaxonomyCodeLicense
Physical Therapist Primary 225100000X14200 (CT)

Physical Therapist: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, r…

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About NPI 1184359879

Peter Mark Anthony Ellison Jr., DPT's National Provider Identifier is 1184359879, issued on Jul 18, 2022. The primary taxonomy on file is Physical Therapist (225100000X), and the practice location is in Wallingford, CT. The record was last updated on May 7, 2026.