JACK ELLIS P.T.
NPI 1033289525
Physical Therapist in Birmingham, AL
About Jack Ellis P.t. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACK ELLIS P.T. (NPI 1033289525) is an individual physical therapist in Birmingham, Alabama, licensed in Alabama (PTH4693) and active in the NPI registry since November 2006.
NPPES Registry Identity
Specialties & Licenses
- Diagnose and manage movement dysfunction and enhance physical and functional abilities.
- Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
- Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
- Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
- Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jack Ellis P.t. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jack Ellis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Birmingham, AL 35242
- Reassigned Medicare billing, Alabama enrollment
- 12 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BIRMINGHAM, AL 35233
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jack Ellis's NPI number?
The NPI number for Jack Ellis is 1033289525. It was assigned to this individual provider in the NPPES registry on November 9, 2006.
Where is Jack Ellis located?
Jack Ellis practices at 820 University Blvd, Birmingham, AL 35233. The listed phone number is (205) 327-5030.
What is Jack Ellis's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Jack Ellis enrolled in Medicare?
Yes. Jack Ellis is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jack Ellis's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jack Ellis reassigns Medicare benefits to St Vincents Ambulatory Healthcare Network LLC (Birmingham, AL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jack Ellis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jack Ellis was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.