Keith Ellis, PT

Physical Therapist · Chesterton, IN

Individual Active NPI

NPI number 1972823367

Practice location

502 E 1100 N
Chesterton, IN 46304
Phone
(219) 926-5850
Fax
(219) 250-2072

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NPI record

NPI
1972823367
Entity type
Individual (Type 1)
Enumeration date
June 8, 2010
Last updated
November 26, 2021
Certified
November 26, 2021
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physical Therapist Primary 225100000X 05010042A IN

Mailing address

502 E 1100 N
Chesterton, IN 46304-9697
Phone
(219) 926-5850
Fax
(219) 250-2072

Other practice locations (2)

  • 265 Morthland Dr Ste A, Valparaiso, IN 46383 · (219) 926-5850 ext. 2
  • 60 W 94th Pl, Crown Point, IN 46307 · (219) 926-5850 ext. 3

About Keith Ellis

Keith Ellis, PT is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapist (code 225100000X). The practice location is 502 E 1100 N, Chesterton, IN 46304. The NPI number 1972823367 was assigned on June 8, 2010 and the record was last updated on November 26, 2021.

Keith Ellis lists a license in the registry: #05010042A (IN) for Physical Therapist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Keith Ellis, PT?

The NPI number is 1972823367.

What is the phone number of Keith Ellis?

The phone number listed for the practice location is (219) 926-5850.

Where is Keith Ellis located?

502 E 1100 N, Chesterton, IN 46304.

What is the taxonomy code for Keith Ellis?

The primary taxonomy code is 225100000X – Physical Therapist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Physical Therapist providers in Chesterton

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