Individual provider · Type 1 NPI

Michael Raymond Ellis, P.T.A.

Physical Therapy Assistant · Staten Island, NY

NPI number 1275713273 Active

Practice location

1655 Richmond Ave, Suite B102
Staten Island, NY 10314-1570

Call (718) 370-3500 Map

Fax (718) 370-9724

Mailing address

1715 Avenue T, Suite 2F
Brooklyn, NY 11229-3429

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X003487-1 (NY)

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 …

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About NPI 1275713273

Michael Raymond Ellis, P.T.A.'s National Provider Identifier is 1275713273, issued on Nov 7, 2007. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Staten Island, NY. The record was last updated on Nov 7, 2007.