MRS. BETHANY ANN ELLIS PTA
NPI 1033425806
Specialist in Shannon, MS

Q: What is Bethany Ellis's NPI number?

The NPI number for Bethany Ellis is 1033425806. It was assigned to this individual provider in the NPPES registry on August 31, 2010.

Q: What is Bethany Ellis's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Bethany Ellis was last updated on August 31, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since August 31, 2010

5545 HIGHWAY 145, SHANNON, MS 38868(662) 871-6638 Get Directions Write a Review

NPPES record last updated: August 31, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mrs. Bethany Ann Ellis Pta NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. BETHANY ANN ELLIS PTA (NPI 1033425806) is an individual specialist in Shannon, Mississippi, licensed in Mississippi (PTA3896) and active in the NPI registry since August 2010.

NPPES Registry Identity

NPI1033425806

Entity TypeIndividualFemale

Primary Taxonomy174400000X

Provider Legal NameMRS. BETHANY ANN ELLISCredential: PTA

Location Address5545 HIGHWAY 145Shannon, MS 38868-9351

Mailing Address5545 Highway 145Shannon, MS 38868-9351

Phone(662) 871-6638

Sole ProprietorNo

Enumeration DateAugust 31, 2010

✔ NPI 1033425806 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in MS · PTA3896

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

5545 HIGHWAY 145, Shannon, MS 38868

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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 Bethany Ellis's NPI number?

The NPI number for Bethany Ellis is 1033425806. It was assigned to this individual provider in the NPPES registry on August 31, 2010.

Where is Bethany Ellis located?

Bethany Ellis practices at 5545 Highway 145, Shannon, MS 38868. The listed phone number is (662) 871-6638.

What is Bethany Ellis's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Bethany Ellis was last updated on August 31, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.