Individual provider · Type 1 NPI

Blake Matthew Ellis

Physical Therapist · Bloomington, IN

NPI number 1366373532 Active

Practice location

1155 S College Mall Rd Ste A
Bloomington, IN 47401-6166

Call (812) 558-3356 Map

Mailing address

2122 York Rd Ste 300
Oak Brook, IL 60523-1925

Specialties and licenses

TaxonomyCodeLicense
Physical Therapist Primary 225100000X05016484A (IN)

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 1366373532

Blake Matthew Ellis's National Provider Identifier is 1366373532, issued on May 27, 2026. The primary taxonomy on file is Physical Therapist (225100000X), and the practice location is in Bloomington, IN. The record was last updated on Aug 24, 2026.