ANGELA C ELLIS (NPI# 1912406620) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912406620 |
| Entity Type | Individual |
| Full Name | ANGELA C ELLIS |
| Credential | PT, MPT |
| Practice Address |
31 Stafford Ave Stafford VA 22554-7246 |
| Mailing Address |
5204 Mcmanus Dr Fredericksburg VA 22407-7773 |
| Practice Telephone | 5406586500 |
| Mailing Telephone | 5407106602 |
| Enumeration Date | 2018-02-08 |
| Last Update Date | 2018-02-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
2305202133 | VA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982241808 | Angela Ellis | Dietitian, Registered | 2555 N Dr Martin Luther King Jr Dr, Milwaukee, WI 53212-2709 | 2019-12-10 |
| 1629064415 | Angela Gail Ellis | Dentist | 120 Conner Dr, Suite 201, Chapel Hill, NC 27514-7092 | 2005-09-27 |
| 1801433875 | Angela Ellis | Rehabilitation Practitioner | 98 E Lake Mead Pkwy Ste 302, Henderson, NV 89015-6444 | 2019-12-09 |
| 1588229256 | Angela Ellis | Nurse Anesthetist, Certified Registered | 20333 W 151st St, Olathe, KS 66061-5350 | 2019-05-07 |
| 1306070958 | Angela Leslie Ellis | Counselor | 100 Crescent Center Pkwy, Suite 1290, Tucker, GA 30084-7060 | 2009-05-12 |
| Street Address |
31 STAFFORD AVE |
| City | STAFFORD |
| State | VA |
| Zip Code | 22554-7246 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558306993 | Catherine Wynn Hodgkins | Specialist/Technologist | 31 Stafford Ave, Stafford, VA 22554-7246 | 2006-06-19 |
| 1366040651 | Lauren Shifflett | Social Worker | 31 Stafford Ave, Stafford, VA 22554-7246 | 2020-10-09 |
| 1689289738 | Danielle Gibson | Psychologist | 31 Stafford Ave, Stafford, VA 22554-7246 | 2020-09-14 |
| 1508471277 | Stafford County Public Schools | Psychologist | 31 Stafford Ave, Stafford, VA 22554-7246 | 2020-09-10 |
| 1629680301 | Victoria Katherine Olszowy | Occupational Therapist | 31 Stafford Ave, Stafford, VA 22554-7246 | 2020-08-23 |
| 1386256212 | Caitlin Barry | Social Worker | 31 Stafford Ave, Stafford, VA 22554-7246 | 2020-08-21 |
| 1790306439 | Dana Joy Lanham | Social Worker | 31 Stafford Ave, Stafford, VA 22554-7246 | 2020-05-05 |
| 1821646605 | Brooke Peters | Social Worker | 31 Stafford Ave, Stafford, VA 22554-7246 | 2019-08-26 |
| 1083261812 | Carrie Ingalls Szlyk | Speech-Language Pathologist | 31 Stafford Ave, Stafford, VA 22554-7246 | 2019-08-26 |
| 1376199802 | Rashana Robinson | Social Worker | 31 Stafford Ave, Stafford, VA 22554-7246 | 2019-08-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699385658 | Publix North Carolina, Lp | Durable Medical Equipment & Medical Supplies | 1640 Publix Way, Stafford, VA 22554 | 2020-08-05 |
| 1700368156 | Aws Altameemi | Dentist | 392 Garrisonville Road 205, Stafford, VA 22554 | 2018-09-02 |
| 1831680214 | Radka Loucka | Counselor | 2124 Jefferson Davis Highway, Suite 202, Stafford, VA 22554 | 2018-05-22 |
| 1205383718 | Ogiawesome | Non-emergency Medical Transport (VAN) | 109 Chesterbrook Court, Stafford, VA 22554 | 2016-09-01 |
| 1184088502 | Inina Plucer-rosario | Behavioral Analyst | 12 Monument Drive, Stafford, VA 22554 | 2016-04-12 |
| 1528451218 | Insight Psychological Services, Pllc | Counselor | 11 Hope Rd., Suite 213, Stafford, VA 22554 | 2015-03-05 |
| 1194142885 | Krystal Karin Edmonds | Behavioral Analyst | 538 Apricot Street, Stafford, VA 22554 | 2014-03-20 |
| 1851715312 | Maryann Byrne | Counselor | 108 Brandice St, Stafford, VA 22554 | 2014-02-04 |
| 1164857272 | Melissa C Keylor | Counselor | 11 Hope Road, Suite 213, Stafford, VA 22554 | 2013-09-09 |
| 1255777959 | Sophia Rodrigues | Physical Therapist | 2777 Jefferson Davis Hwy, Suite 109, Performance Physical Therapy, Stafford, VA 22554 | 2013-05-21 |
| Find all providers in zip 22554 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144758889 | Kristen Michelle Mcbee | Physical Therapist | 2781 Jefferson Davis Hwy, Stafford, VA 22554-8322 | 2017-05-25 |
| 1649838939 | Lauren Luttrell | Physical Therapist | 2765 Jefferson Davis Hwy Ste 203, Stafford, VA 22554-8331 | 2019-05-31 |
| 1487210050 | Kaitlyn Glass | Physical Therapist | 2765 Jefferson Davis Hwy Ste 203, Stafford, VA 22554-8331 | 2019-05-19 |
| 1184127250 | Phylicia Olukoju | Physical Therapist | 12371 S Kirkwood Rd, Stafford, TX 77477-2836 | 2018-03-14 |
| 1346749777 | Catherine Ann Whelen | Physical Therapist | 31 Stafford Ave, Stafford, VA 22554-7246 | 2018-02-12 |
| 1972018521 | Kayla Lawson | Physical Therapist | 12371 S Kirkwood Rd, Stafford, TX 77477-2836 | 2017-12-05 |
| 1275763484 | Jacquelyn Antoinette Sanderson | Physical Therapist | 12371 S Kirkwood Rd, Stafford, TX 77477-2836 | 2009-07-22 |
| 1467682005 | Christine Marie Suarez Azcona | Physical Therapist | 12371 S Kirkwood Rd, Stafford, TX 77477-2836 | 2009-07-16 |
| 1972733525 | Patricia Pondell | Physical Therapist | 12371 S Kirkwood Rd, Stafford, TX 77477-2836 | 2009-07-16 |
| 1326278979 | Tammara Lynn Cowley | Physical Therapist | 12371 S Kirkwood Rd, Stafford, TX 77477-2836 | 2009-07-16 |
| Find all providers in STAFFORD | ||||
Please comment or provide details below to improve the information on ANGELA C ELLIS.
| 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.