LACEY LORAL ELLIS (NPI# 1639510282) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639510282 |
| Entity Type | Individual |
| Full Name | LACEY LORAL ELLIS |
| Credential | PT, DPT |
| Practice Address |
2685 Pelham Pkwy Suite C Pelham AL 35124-1354 |
| Practice Telephone | 2056216503 |
| Practice Fax Number | 2056216507 |
| Mailing Telephone | 2056216503 |
| Mailing Fax Number | 2056216507 |
| Enumeration Date | 2013-07-11 |
| Last Update Date | 2013-12-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
PTH6802 | AL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
PT26720 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538796479 | Lacey Ellis | Counselor | 19 N 5th St, Fort Smith, AR 72901-2137 | 2020-03-23 |
| Street Address |
2685 PELHAM PKWY SUITE C |
| City | PELHAM |
| State | AL |
| Zip Code | 35124-1354 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578703062 | Cassidy Marie Nelson | Occupational Therapist | 2685 Pelham Pkwy, Suite C, Pelham, AL 35124-1354 | 2009-02-24 |
| 1669962106 | Alabama Health, LLC | Clinic/Center | 2685 Pelham Pkwy, Pelham, AL 35124-1354 | 2018-05-10 |
| 1841647906 | Megan Burchfield | Speech-Language Pathologist | 2685 Pelham Pkwy, Ste C, Pelham, AL 35124-1354 | 2016-05-18 |
| 1932582749 | Denton Dental of Pelham Dba Save-on | Dentist | 2685 Pelham Pkwy, Suite B, Pelham, AL 35124-1354 | 2015-06-30 |
| 1487078960 | Ladonna Cohen | Occupational Therapist | 2685 Pelham Pkwy, Suite C, Pelham, AL 35124-1354 | 2014-02-05 |
| 1821302563 | Pelham Dental, L.L.C. | Dentist | 2685 Pelham Pkwy, Suite B, Pelham, AL 35124-1354 | 2010-08-05 |
| 1558680413 | Tosha Aminah Gaines | Occupational Therapist | 2685 Pelham Pkwy, Suite C, Pelham, AL 35124-1354 | 2010-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881223162 | Pelham Internal Medicine LLC | Internal Medicine | 2156 Highway 52 East, Suite 100, Pelham, AL 35124 | 2020-04-07 |
| 1477199511 | Kentros Dental LLC | Clinic/Center | [email protected], 1973 Chandalar Drive, Pelham, AL 35124 | 2019-11-25 |
| 1376184598 | Benjamin Mcdaniel | Pharmacist | Wal Mart Pharmacy, 2181 Pelham Pkwy, Pelham, AL 35124 | 2019-09-30 |
| 1710545611 | Comfort Dental Care of Pelham LLC | Dentist | 102 Hilltop Business Center Dr, Pelham, AL 35124 | 2019-06-05 |
| 1285124875 | Alabama Tongue-tie Center Inc. | Dentist | 2480 Pelham Pkwy, Pelham, AL 35124 | 2018-05-18 |
| 1831690684 | Lori Ellen Gardner | Counselor | 201 Yeager Pkwy, Pelham, AL 35124 | 2018-02-27 |
| 1184146177 | Rural Urgent Care LLC | Clinic/Center | 300 Big Mountain Rd, Pelham, AL 35124 | 2017-07-11 |
| 1194246330 | Shelby County Health Dept Std | Public Health or Welfare | 2000 County Services Drive, Pelham, AL 35124 | 2017-06-28 |
| 1457804247 | Purifoy Adult Day Healthcare LLC | Clinic/Center | 8707 Helena Road, Pelham, AL 35124 | 2016-07-27 |
| 1700266475 | Thrive Behavioral Services, LLC | Behavioral Analyst | 3183 E Pelham Parkway, Pelham, AL 35124 | 2015-06-08 |
| Find all providers in zip 35124 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366078123 | Devin Mcdonald Darwin | Physical Therapist | 240 Commerce Pkwy, Pelham, AL 35124-1395 | 2020-03-12 |
| 1164571725 | Easter Seals of The Birmingham Area | Physical Therapist | 2685 Pelham Parkway, Suite C, Pelham, AL 35124 | 2007-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922649599 | Susan Thomas French | Physical Therapist | 247 Latigo Loop, Huntsville, AL 35806-1300 | 2019-10-03 |
| 1417370081 | Adventure Pediatric Therapy | Physical Therapist | 10 Forest Dr, Tuscaloosa, AL 35404-3364 | 2014-02-01 |
| 1700215407 | Smfi Therapy, LLC | Physical Therapist | 2301 Old Columbiana Rd, Vestavia, AL 35216-2568 | 2013-11-04 |
| 1124351895 | Stephanie K Orr | Physical Therapist | 1601 6th Ave S, Birmingham, AL 35233-1717 | 2009-09-14 |
| 1538327697 | Step By Step Physical Therapy and Child Development | Physical Therapist | 9213 Stillforest Ct, Montgomery, AL 36117-8408 | 2008-05-27 |
| 1649442559 | Brenda Susan Morrison | Physical Therapist | 525 Buckingham Dr, Montgomery, AL 36116-2738 | 2008-03-31 |
| 1386763357 | Margaret Podlesny | Physical Therapist | 2403 Huntington Ln Se, Decatur, AL 35601-4567 | 2007-03-28 |
| 1437284106 | Mary Patrice Murphy | Physical Therapist | 700 Century Park S, Suite 128, Birmingham, AL 35226-3943 | 2007-02-22 |
| 1285789347 | Melinda Wheeler | Physical Therapist | 2002 Mcfarland Blvd E, Suite 209, Tuscaloosa, AL 35404-5805 | 2007-01-25 |
| 1760558225 | Kristye Hall Chastang | Physical Therapist | 39821 Duffee Ln, Bay Minette, AL 36507-6877 | 2006-11-28 |
| Find all providers with the same taxonomy | ||||
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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.