ELLIS REHABILITATION SERVICES, INC. (NPI# 1245240365) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245240365 |
| Entity Type | Organization |
| Organization Name | ELLIS REHABILITATION SERVICES, INC. |
| Practice Address |
5609 Donnybrook Ave Tyler TX 75703-6111 |
| Mailing Address |
115 S Murchison St Athens TX 75751-2662 |
| Practice Telephone | 9035612808 |
| Practice Fax Number | 9039391812 |
| Mailing Telephone | 9036750000 |
| Mailing Fax Number | 9036755520 |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2010-02-09 |
| Authorized Official Name | MR. DAVID ELLIS (PRESIDENT/ADMINISTRATOR) |
| Authorized Official Telephone | 9036750000 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BCBS | 0094BG | 01 |
| TX | 110019004 | 05 | |
| TX | 110019002 | 05 | |
| TX | CHIPS | 122300 | 01 |
| Street Address |
5609 DONNYBROOK AVE |
| City | TYLER |
| State | TX |
| Zip Code | 75703-6111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114212503 | Rebecca Leigh Vestfals | Occupational Therapist | 5609 Donnybrook Ave, Tyler, TX 75703-6111 | 2011-06-13 |
| 1558676247 | Erin Leigh May | Speech-Language Pathologist | 5609 Donnybrook Ave, Tyler, TX 75703-6111 | 2010-08-18 |
| 1740500263 | Rachel L Foster | Speech-Language Pathologist | 5609 Donnybrook Ave, Tyler, TX 75703-6111 | 2010-06-07 |
| 1740518984 | Brooke Hughes Rocha | Occupational Therapist | 5609 Donnybrook Ave, Tyler, TX 75703-6111 | 2009-11-30 |
| 1710118716 | Carolyn Turman Troyer | Physical Therapy Assistant | 5609 Donnybrook Ave, Tyler, TX 75703-6111 | 2009-08-07 |
| 1891955696 | Leigh Ann Cook | Speech-Language Pathologist | 5609 Donnybrook Ave, Tyler, TX 75703-6111 | 2008-06-15 |
| 1508044090 | Lisa Gaye Williams | Physical Therapist | 5609 Donnybrook Ave, Tyler, TX 75703-6111 | 2008-02-06 |
| 1396921649 | Ana Patrisia Olvera | Physical Medicine & Rehabilitation | 5609 Donnybrook Ave, Tyler, TX 75703-6111 | 2008-01-17 |
| 1689872855 | Emily L. Jones | Speech-Language Pathologist | 5609 Donnybrook Ave, Tyler, TX 75703-6111 | 2007-07-10 |
| 1265634141 | Amanda Storer | Physical Therapy Assistant | 5609 Donnybrook Ave, Tyler, TX 75703-6111 | 2007-06-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174155477 | Choice Supportive Care Team Inc. | Family Medicine | 4293 Kinsey Drive, Tyler, TX 75703 | 2020-02-05 |
| 1770052532 | Refinery Chiropractic LLC | Chiropractor | 16637 Old Jacksonville Hwy, Suite D, Tyler, TX 75703 | 2018-11-21 |
| 1215419353 | Deidre Lynn Fergason | Occupational Therapy Assistant | 3505 Old Jacksonville Hwy, Tyler, TX 75703 | 2018-09-05 |
| 1710473681 | Justin Taylor Ross | Dentist | 8938 S Broadway Ave Ste 380, Tyler, TX 75703 | 2018-07-03 |
| 1457843450 | Adam Tyler Barnes, Dds of Texas II, Pllc | Dentist | 8938 South Broadway, Ste 480, Tyler, TX 75703 | 2018-06-05 |
| 1083106462 | Integrity Health | Internal Medicine | 5605 Old Bullard Rd Ste B, Tyler, TX 75703 | 2018-06-01 |
| 1427572544 | Cody Wayne Graham | Pharmacist | 5415 S. Broadway Ave., Tyler, TX 75703 | 2017-07-31 |
| 1750805941 | Roger Bryan Chapman | Nurse Practitioner | 6115 New Copeland Rd, Tyler, TX 75703 | 2017-07-28 |
| 1427570084 | Darah Lynne Dahlem | Speech-Language Pathologist | 401 E. Front Street Ste 123, Tyler, TX 75703 | 2017-07-14 |
| 1194267468 | Herman Lester Hampton Jr. | Surgery | 5803 Regents Row, Tyler, TX 75703 | 2016-11-17 |
| Find all providers in zip 75703 | ||||
| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871654244 | East Texas Pediatric Rehabilitation Associates Inc | Clinic/Center | 1001 W Southwest Loop 323, Tyler, TX 75701-9416 | 2006-12-12 |
| 1053510974 | Pedi Spot LLC | Clinic/Center | 4801 Troup Hwy, Suite 800, Tyler, TX 75703-2356 | 2007-07-11 |
| 1205978145 | Rehabcare Group East Inc. | Clinic/Center | 3200 Troup Hwy, Suite 333, Tyler, TX 75701-8397 | 2007-02-13 |
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|---|---|---|---|---|
| 1932709896 | All-star Rehab Plus Kids, Pllc | Clinic/Center | 1913 7th St, Bay City, TX 77414-5112 | 2020-10-29 |
| 1043827124 | Healthstar Family Rehab Center, LLC | Clinic/Center | 6800 Gateway Blvd E. Bldg 4ab, El Paso, TX 79915-1006 | 2020-09-23 |
| 1528672391 | Pro Rehab One LLC | Clinic/Center | 1929 W Us Highway 83, Rio Grande City, TX 78582-6313 | 2020-08-31 |
| 1538772488 | Optimum Kids Ltd | Clinic/Center | 1240 E Business 83 Ste A, Mission, TX 78572-9600 | 2020-08-28 |
| 1366055998 | Workfit Recovery Centre | Clinic/Center | 800 W Airport Fwy Ste 630, Irving, TX 75062-6268 | 2020-08-24 |
| 1558973842 | Paramount Medical Rehabilitation LLC | Clinic/Center | 8585 North Stemmons Freeway Ste 107-s, Dallas, TX 75247 | 2020-08-19 |
| 1013528231 | Feel Free Pt | Clinic/Center | 3323 Mccue Rd Apt 1411, Houston, TX 77056-7169 | 2020-08-11 |
| 1285259945 | Select Physical Therapy Texas Limited Partnership | Clinic/Center | 2306 Rayford Rd Ste 200, Spring, TX 77386-1707 | 2020-06-09 |
| 1427670744 | J & J Habilitation Services | Clinic/Center | 11819 Fleming Dr # Drb, Houston, TX 77013-5608 | 2020-05-08 |
| 1740819994 | Hunter Occupational Solution | Clinic/Center | 4311 Andrews Hwy., Midland, TX 79703 | 2020-04-08 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.